Early Stage Funding Opportunity Application
RequiredRequired Question(s)
Required
Please enter the information indicated below.

First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Cell Phone:

How did you hear about RCBI? (Mark all that apply)?
Email Advertising/Marketing
Newspaper Advertising/Marketing
RCBI Website
RCBI Newsletter
Chamber of Commerce: Specify below in Comment box
You are a RCBI customer
College/Univesity: Specify below in Comment box
Local Economic Devleopment Agency: Specify below in Comment box
Advantage Valley
Small Business Development Center (SBDC)
Word of Mouth: Specify who or how below in Comment box
Other  
  • Comment:

  • 500 characters left.
COMPANY INFORMATION -CURRENTLY IN BUSINESS
 

Company name 

 

50 characters left.

Founding Date  

 

50 characters left.

Number of full-time employees 

 

50 characters left.

Number of part-time employees 

 

50 characters left.

Are you:  

A home-based business
Selling your products online
Selling products out of state
Exporting products internationally
Other  

What is the legal entity of your business? 

Sole Proprietorship
Partnership
LLC
Sole Corporation
Corporation
Other  
ENTREPRENEURIAL START-UP (NOT IN BUSINESS)
 
Required

Check all that apply. 


Artist
Educator
Engineer
Farmer
Inventor
Manager/Supervisor
Scientist
Student
Writer/Author
Other  
  • Comment:

  • 500 characters left.
BUSINESS SECTOR
 

Which business sector(s) best fit your business? 

Aerospace Technology
Agriculture
Chemical
Coal
Commerical Product Technology
Composite Materials Technology
Energy
Energy Efficiency
Hospitality
Healthcare
Manufacturing
Petroleum
Plastics
Renewable Energy Technology
Transportation Technology
Other  
SPECIFIC PROJECT INFORMATION
 
Applicant Commitment
 
I understand that the first 5% (of the amount awarded) of project funding is my responsibility and I must pay before project work begins.  Applicant Commitment must be paid within 10 days after the receipt of the award letter and is non-refundable.
I agree to pay 5% of amount awarded.
I do not agree to pay 5% of amount awarded

Type of assistance requested (Check all that apply) 

Computer-aided Design
Reverse Engineering
Machining
3D Printing
Prototyping
Fabrication
Quality
Training
Marketing (Up to $5,000) located with in the Advantage Valley region
Other  
Required

Provide a non-confidential project summary, no more than 100 words.  This summary will be non-confidential and will be included in RCBI press releases and media if the project is funded.  This summary may be provided to members of the public or private organizations.  The summary should describe: scope of work, benefits, feasibility, goals, and expected outcomes. 

 

350 characters left.
A.  SCOPE OF WORK (up to 20 points review committee scoring)
 
Required

1.  Provide a detailed description of the objectives of the scope of work.  The plan should describe:

what will be done

where it will be done

how R & D will be carried out 

 

1000 characters left.
Required

2.  Provide a time line corresponding to the proposed scope of work.  The proposed time line will be taken into consideration as part of the applicant's ability to complete the project in a timely matter. 

 

1000 characters left.
Required

3.  Describe how the proposed scope of work will advance this technology, process, service or opportunity toward commercialization or help increase your business.  What is your current infrastructure to carry our the proposed project, e.g. necessary equipment, facilities and capital? 

 

1000 characters left.
B.  SCIENTIFIC AND TECHNICAL MERIT (up to 25 points review committee scoring)
 
Required

1.  Clearly describe the specific technical problem or opportunity to be addressed through the development of the proposed technology (product, process, or service).  List any risk areas associated with the technology development plan. 

 

1000 characters left.
Required

2.  Describe your proposed technology (product, process or services) and why it is unique and innovative.  Provide comparisons to existing technologies and identify the advantages of your proposed technology, product, process, or service. 

 

1000 characters left.
.  MARKET POTENTIAL (up to 20 points review committee scoring)
 
Required

1.  Clearly state the pricing competitive advantage of your proposed technology, product, processes or services. 

 

1000 characters left.
Required

2.  Describe the potential market for your product, process, service or technology. Include relative metrics and trends.  Describe target customers and how the market was evaluated.  a letter form a significant interested buyer, end-user or partner may be included.

Email any support documents to earlystagefunding@rcbi.org 

 

1000 characters left.
D.  MANAGEMENT (up to 10 points review committee scoring)
 
Required

1.  Describe the management's relevant experience in developing and commercializing new products, processes and services.  What is the management's relevant experience with the specific technology, product, process, service, or opportunity being developed?  

 

1000 characters left.
E.  BUSINESS PLAN AND POTENTIAL FOR ECONOMIC IMPACT (up to 15 points review committee scoring)
 
Required

1.  Describe how you would implement your proposed project. 

 

1000 characters left.
Required

2.  Describe how and where the technology, process, service or opportunity will be manufactured or implemented. 

 

1000 characters left.
Required

3.  Describe how the proposed project may lead to positive economic impact to the State of West Virginia including such measures as:

NEW JOB EXPECTATIONS

RETENTION OF EXISTING JOBS

NEW REVENUES 

 

1000 characters left.
F.  APPLICANT PRESENTATION (up to 10 points review committee scoring)

The applicant will meet with the scoring committee and others to present their project.

 
HISTORY
 

Explain the history of the current project and the history of your business (if applicable). 


 

1000 characters left.

Explain the work scope that has been accomplished:

What has been done up to this point?

What steps have been taken to advance your idea? (concept or working prototype)

How much R & D time and money have you invested in your idea up to this point? 

 

 

1000 characters left.
Required

Have you ever applied for or been awarded a patent? 

Yes: Explain in comment box
NO
  • Comment:

  • 500 characters left.
Required

Have you ever started or run a business? 

Yes: Explain in comment box
NO
  • Comment:

  • 500 characters left.
Required

Have you ever developed a product or service that commercialized? 

Yes: Explain in comment box
NO
  • Comment:

  • 500 characters left.
Required

Are there any regulatory statutes, trends, or threats that might affect your idea, service or product? 

Yes: Explain in comment box
NO
  • Comment:

  • 500 characters left.
HISTORY OF PREVIOUS GRANTS
 
Required

Have you applied for or received any previous grants (RCBI or others)? 

Yes, If yes answer the following questions
no

What was the project title for the award that you received? 

 

350 characters left.

Provide a short history of previously funded project(s).  Describe work proposed and work accomplished. 

 

1000 characters left.

Explain why the project was or was not a success. 

 

1000 characters left.

Identify subsequent efforts leading toward commercialization of the funded project. 

 

1000 characters left.
Incomplete applications will not be considered.

Full applications will be sent to the Robert C. Byrd Institute (RCBI) Review Committee if considered.

Applicants will receive written notification of the acceptance or rejection of their application.

A list of all recipients may be posted on the www.rcbi.org website.

The expected project endpoints and date targeted for project completion must be specified and agreed to by both the recipient and RCBI.

Upon completion of the grant work the awardee will complete a post project report document provided by RCBI to record the efforts and findings of the project and the next steps to be taken to advance the technology toward commercialization including both technical and financial objectives.

Any supporting documents should be email to earlystagefunding@rcbi.org.  Because of the prohibitively large size please DO NOT ATTACH any video files; simply include a link to the YouTube video, etc.

Examples of supporting documents:  Business plan drawings, Patent documents, letters of support, articles, pictures, diagrams, market information, letters from experts or partners or collaborators or supplier, etc.

By submitting this application electronically, the applicant certifies the application has been checked for completeness. The applicant also requests that all application information be treated as confidential other than project name, type of work performed, and the "Non-Confidential Summary."