Hawaii SBIR Grant Application

Hawaii SBIR Grant Application

Hawaii SBIR & STTR Matching Grant Program Application

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Hawaii Small Business Innovation Research (HSBIR) Grant Program Application

Administered by INNOVATE Hawaii / Hawaii Technology Development Corporation



If you used this online form to apply for a PREVIOUS PHASE grant for the SAME project please email sbir@htdc.org
and request a link to your original application. You will then only need to complete Section 3b, 3c or 3d 
corresponding to the current phase  you are applying for. Otherwise you will need to complete all previouse phase sections.
Company Information

All items with are required.


     
President/Authorized Official
Prefix
First Name
Last Name


Email




Street Address
Street Address Line 2
City
Postal/Zip Code

Prefix
First Name
Last Name









D-U-N-S (Dunn & Bradstreet) number will be required before grant awarded. If you do not have a D-U-N-S number we will contact you to assist in getting a number at no cost.


HTDC

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2a. SBIR/STTR Grant information




2b. SBIR/STTR Grant Justification

Forecast company growth and economic impact for 5 years  






Complete this section for Phase 0 application

Page 3a Phase 0/1

3a. Phase 0 Information 

Yes






Identify Grant Proposal Writer/Consultant 

Name
Prefix
First Name
Last Name

Street Address
Street Address Line 2
City
Postal / Zip Code

Area Code
Phone Number


Upload Federal Phase I application, Proof of Phase I submission, and Invoice from grant writer

3b. Phase I Information This section must be completed for Phase I, Phase II AND Phase III applications.    











Use of Hawaii SBIR/STTR Phase I Funds  
TOTAL EXPENSE USING Hawaii SBIR/STTR FUNDS 









Page 3b - Phase II/III

3c. Phase II information This section must be completed for Phase II AND Phase III applications.








Market Potential



Business/Technical


Revenue New Jobs New Jobs > $80k Salary
Year 1
Year 2
Year 3
Year 4
Year 5


Use of Hawaii SBIR/STTR Phase II funds 









3d. Phase III Information This section must be completed for Phase III applications.






Market Potentials



Business/Technical


Revenue New Jobs New Jobs > $80k salary
Year 1
year 2
Year 3
Year 4
Year 5


Use of Hawaii SBIR/STTR Phase III funds
TOTAL EXPENSES USING Hawaii SBIR / STTR Funds:









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Year Phase Amount Agency HSBIR Amount Current Commercialization Stage Status
1
2
3
4
5
Additional Information/Certification

Your company must be registered with Hawaii Compliance Express and supply a current certificate of vendor Compliance in order to submit your application. Visit the Hawaii Compliance Express  for information and apply:





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INNOVATE Hawaii and the Hawaii Technology Development Corporation administer the Hawaii SBIR/STTR Matching Grant Program. We look forward to awarding your application to help you move forward with your technology.
By submission of this application you agree that all information provided us accurate and that you will be subject to all of the eligibility requirement of the grant.You also agree to participate in HTDC Annual Economic Survey and the INNOVATE Hawaii NIST/MEP Survey for a period of 5 years.

Prefix
First Name
Last Name


Important
The Authorized Representative listed above must complete an electronic signature form before we will review the application. Once you hit the submit button, you will be directed to the form.

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