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Corporate Relations

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Project Information Form

Industry Sponsored Student Projects

* Class

IOE 424 ME 450 ME 452 ENGIN 450

* Company Name

* Project Liaison(s)

Title

Division/Department

Address

Phone

Fax

Project Location

If different from the above Address

Department Description

Project Description

A short description of the project problems and/or goals

Project Deliverables

What the team is expected to complete for the sponsor

Materials & Budget

Above and beyond the cost of the class fee and/or over $500

Will students be able to display the prototype to the general public

Yes No

Will you need students to sign over patent rights?

but would want royalty free non-exclusive perpetual worldwide license to utilize the patented product or process

Yes No

Will you need students to sign over a non-disclosure agreement?

Yes No

Will you need student to travel to your location?

Yes No

I agree

I agree to pay the participation fee associated with the chosen class of interest and any additional prototype costs in excess of $800.

Yes No

Mail Invoice Name and Address