| SUPER Group Support Form |
|
FY 2007
Request for Support from the SUPER R&D Group
Date:
Requestor's Name:
Title/Research Unit/Location (ARS requestors only):
Title/University/Company (Non-ARS requestors):
Address (only for Non-ARS customers):
Contact Numbers:
Please explain the research support you would like to obtain?
What are the deliverables you request (please be as detailed as possible)?
What is your timeline for completion?
What special equipment/supplies/materials/resources will be required for the project?
If necessary, are you willing to provide financial support for the project?
Are you or your staff available for assistance in pilot plant operations/design/fabrication/simulation/cost analysis if needed?
Will the requested support be a critical step in moving a research scale project or idea toward commercialization or adoption by user groups?
Do you have published literature or other information describing your process? If so, please attach to this application.
Does the research involve the use of any hazardous microorganisms, chemicals, equipment, or operations? Please comment on all.
Product prepared in the Pilot Plant are generally for experimental, non-food non-consumption uses. Do you intend this product to be used for human consumption?
Please provide any other justification you may have that would allow us to properly evaluate and prioritize this project among others received by the committee.
Requester's signature:
LS initials/date:
RL initials/date:
Please return this form to Robert Moreau at robert.moreau@ars.usda.gov
