Innovation Fund Example

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* 1. Innovation Fund Applicant

Name

Department

Email Address

Phone Number

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* 2. Title of Initiative (make it compelling)

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* 3. Project Summary (3-5 paragraphs)

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* 4. Whom does this proposal impact?

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* 5. What is the expected cost of this proposal (one-time and ongoing)?

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* 6. What additional resources are needed (staffing/equipment, etc)?

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* 7. Project timeline (how long will this take to implement)? Major milestones?

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* 8. Potential risks or complications?

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* 9. My director or manager is aware of this submission

Yes

No

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* 10. Please rate how strong your submission is based on the following criteria (higher score is stronger):

	1	2	3	4	5	6	7	8	9	10
Original	Original 1	Original 2	Original 3	Original 4	Original 5	Original 6	Original 7	Original 8	Original 9	Original 10
Impactful	Impactful 1	Impactful 2	Impactful 3	Impactful 4	Impactful 5	Impactful 6	Impactful 7	Impactful 8	Impactful 9	Impactful 10
Practical	Practical 1	Practical 2	Practical 3	Practical 4	Practical 5	Practical 6	Practical 7	Practical 8	Practical 9	Practical 10
Measurable	Measurable 1	Measurable 2	Measurable 3	Measurable 4	Measurable 5	Measurable 6	Measurable 7	Measurable 8	Measurable 9	Measurable 10
Reproducible	Reproducible 1	Reproducible 2	Reproducible 3	Reproducible 4	Reproducible 5	Reproducible 6	Reproducible 7	Reproducible 8	Reproducible 9	Reproducible 10
Sustainable	Sustainable 1	Sustainable 2	Sustainable 3	Sustainable 4	Sustainable 5	Sustainable 6	Sustainable 7	Sustainable 8	Sustainable 9	Sustainable 10