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Industry Sponsored Student Projects
*
Class
IOE 424
ME 450
ME 452
ENGIN 450
*
Company Name
*
Project Liaison(s)
Title
Division/Department
Address
Street 1:
Street 2:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
-
AS
DC
RM
GU
MH
MP
PW
PR
VI
AA
AE
AP
Zip:
Phone
Fax
Email
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