1. Short project title:

Short project title (not more than 60 characters). Please give your short project title a non-technical description.

1. Long project title:

Optional long project title/description (not more than 150 characters)

1. Award category: Business Impact – Achieved Business Impact – Aspiring Collaborative Impact

1. Organisation/Institution:

1. Contact name:
2. Address:
3. Town/City:
4. County:
5. Postcode:
6. Email address:
7. Telephone number:

1. Project team:

Please enter the names and roles of the project team. This is the team you are nominating for entry. To qualify for entry the project team must include a representative from technology/knowledge transfer function. Applicants should ensure that any end users of the innovation commercialisation have approved the project’s nomination for The Impact Awards 2011.

1. Others involved:

Please enter other contributors and their roles, not members of the core project team, that made a significant contribution to the project. These individuals will be named in the awards material.

1. Project summary:

Please provide a layman's summary of the project in not more than 200 words, including how knowledge/technology transfer made the difference. If appropriate, consider an elevator pitch-style summary. The strength of this summary will form an integral part of the judges' decision-making.

1. Project’s impact and attributes:

Please submit a concise (not than 300 words) description of the project's impact and attributes including societal and economic impact. Information that allows the success of the project to be quantified should be included, such as clear evidence of commercial success.

The potential for impact should be described and quantified in the Aspiring category

1. Description:

Please describe the project and why it should be a winner of The Impact Awards 2012. Please provide sufficient information to enable non-specialist judges to understand the key features of the project.

Please submit a clear description, not exceeding 600 words, demonstrating how the entry meets the entry criteria, noting:

- The outcome, and commercial evidence, of the project (or its potential in the Aspiring category)
- Any challenges encountered and how the project team was able to overcome them
- How the project fits with their institution's mission for knowledge transfer

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