Home | Contact us

University of Brighton Innovation Voucher Application Form

Your Details


Organisation name *

Primary contact *

Job title *

Email *

Phone number

Organisation status *

Company registration number (if applicable)

VAT registration number (if applicable)

Address 1

Address 2

Address 3

City

Postcode

Website

Please select the market area(s) in which your business generally operates:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Number of employees

Business turnover in latest accounts

Balance sheet total in latest accounts

Does your business have a parent compnay or are you part of a group of linked enterprises?

If yes, which companies/individualsown 25% or more of the company

Your Idea


The answers in this section will be used to check that your requirements can be met by the University of Brighton, Faculty of Science & Engineering.

Your idea

In which sector is your idea applicable?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

What is the idea or opportunity you need help with? (max 100 words)

If you have already identified an academic, please name them here

What will the university provide

When would you hope the project will start and what is the desired duration? (max 250 words)

How might you envisage working with the university following the voucher-funded engagement

Agreements


Terms & conditions

Please read the terms and conditions below carefully. by checking the boxes you are confirming that you have read and are agreeing to the terms and conditions of a University of Brighton Innovation Voucher.

Agreement about my business
 

About my project

At the end of the project I/the business will submit:

A claim form to redeem the voucher

A final report on the project

Publicity and evaluation

I agree to the University of Brighton using the public description of the project for publicity purposes. I agree to assist the University of Brighton to develop a case study from the project. I agree to take part in the evaluation of the Innovation Vouchers scheme and understand that my information will be treated in a confidence.

Agreement Publicity and Evaluation
 

I would like to receive information on:
 
 
 
 

 
*) Required fields