Please specify your SBIR Award Phase:
Please select phase... Phase 1 Awardee Phase 2 Awardee Other

To ensure full access to the technology assistance services relevant to your respective SBIR award, (Phase I or Phase II), please specify your DOT Award Number, including dashes, in the space provided below:

Name of Technology or Project:

Non-Proprietary Description of Technology:

May this description be released to Foresight Pipeline Partners (potential commercialization partners)?
By entering "yes," you give Foresight permission to reference the above non-proprietary description in order to appropriately communicate your technology to potential commercialization partners.
Yes
No

Do you have a patent or have you published anything on this technology?
Yes (Please describe or cite IP below)
No

Funding Agency:
If this project is paid for by a government agency or foundation, please indicate the funding source using the drop-down menu.
Please select one...
DOT
No outside funding
Other

Maturity Level of Technology:
Select Maturity Level... Concept Fundamental Research Proof of Feasibility Operational Prototype Commercially Ready Commercially Introduced

Science/Technology Field(s):
Please indicate the science or technology field(s) under which this technology can be categorized
(ex. surgical devices, infrared spectrometry, software engineering, nuclear physics, etc.)

Primary Intended Application:

Other Applications of Interest:

Geographic Region of Interest (Country Optional):
Select Region Global Asia Africa Australia Europe Middle East Latin America North America South America <--------------------
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Please describe the primary objective(s) our service should meet:

We normally identify your compay or organization when speaking to people. Do you wish to remain anonymous?
Yes, we prefer to remain anonymous.
No, Foresight may reference my company name when speaking to people.

Primary Reason for Requesting Access to DOT CAP Site: Select Reason... Educational Just Browsing Specialized Assistance Other (Please note reason below)

How did you hear about the DOT Commercialization Assistance Program Web site? Select a reference... Small Business Related Web Search (e.g. Google) SBIR/STTR Conference or Workshop Small Business Development Center Peer, Colleague or Professional Association Department of Transportation SBIR/STTR Web Site Invited to Register by DOT or Foresight S&T