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Full Name:
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Name of others that have participated in the development of the invention:  
 
Department:
 
Information about the invention
Title of the invention:
Technical background of the invention:
Description of the invention:
Diagrams and images:
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Prior art:
Attach any document (not yours, but from others) that describe inventions that are similar to your invention that you may have found during the development stage of your invention.

 
Alternative elements of the invention:
When was the idea conceived for the invention?
When was the invention first described in written form?
Who have you disclosed the invention to?  
Describe the first time that experiemental activities were executed regarding the invention:
Additional comments:  
 
Information about the university
Name of the research Project that you worked on that aided in developing the idea of the invention:
Where did the funding for the Project come from?: 
NSF
infoEd SPIN
Grants.gov
NASA
NEH
CPB
NIH
U.S. Dept. of Education
DoE
USDA
EPA
ERA
Sea Grant
NOAA
DoD
U.S. Geological Survey
DHS
DoC
U.S. Dept. of State
P.R. Dept. of Education
P.R. DRNA
AAA (P.R.)
P.R. Dept. of Family Affairs
P.R. Dept. of Justice
Autoridad de Autopistas
ADS (P.R.)
CES
PREAA
Other funding sources:
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Commercialization of the invention
Potential value of the invention:
Companies that may be interested in the invention:
Products that already exist in the market place related to the invention:
 
 

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