COVER PAGE
2007 VERMONT EPSCoR SBIR Phase (0) PROPOSAL

NAME OF FIRM                                                          YEAR(S) I HAVE PREVIOUSLY SUBMITTED A                                                                                 
                                                                         PHASE (0) & OUTCOME(S) e.g. awarded/declined:	
ADDRESS (INCLUDE PHONE AND E-MAIL)

	
PRINCIPAL INVESTIGATOR (NAME AND TITLE)

TITLE OF PROJECT

	
AMOUNT REQUESTED
	
TARGET AGENCY FOR PHASE I/II PROPOSAL SUBMISSION
	
ARE VERTEBRATE ANIMALS OR HUMAN SUBJECTS INVOLVED IN THE PROJECT?
	
TECHNICAL ABSTRACT (LIMIT TO 200 WORDS)

	
KEY WORDS TO IDENTIFY RESEARCH OR TECHNOLOGY (8 MAXIMUM)

Please sign below ONLY if you will permit Vermont EPSCoR to disclose just this title and technical abstract page (not the entire proposal), if the proposal does not result in an award, to parties that may be interested in contacting you for further information or possible investment.  If you do not wish this abstract to be made public, do NOT sign here.	

Signature:                                                                                Date	

Print Name: