Project Idea Form

    Applicant details

    Company name (required):

    Visiting address
    Street address:
    Postcode:
    City:

    Postal address (if applicable)
    Postal address:
    Postcode:
    City:

    Contact
    Name:

    What is your (research) question / idea / innovation?

    Have you previously cooperated with a hospital / university / sports organization?
    YesNo
    If yes, in what way?

    Do you have any experience in innovation / research?
    YesNo
    If yes, in what way?

    How do you intend to fund your project?

    Have you spoken to other organizations / individuals in Gelderland? Think of Oost NV, Food Valley Chamber of Commerce, other companies.
    YesNo
    If so, which organizations / individuals?

    Have you done any market research?
    YesNo

    Do you have a business case?
    YesNo

    Do you intend to perform research on human subjects?
    YesNoUnknown
    If 'Yes', please define the target group below:

    Do you need materials which you do not have at your disposal?
    YesNoUnknown

    If you have any relevant literature, please add it as an attachment.
    Please add it as an attachment.

    Other notes

    Your email address (required)

    No rights may be derived by filling in this Project Proposal Form. All information will be handled confidentially. We will send you a receipt of this form.