MIT Skoltech ProgramBuilding E19-628

77 Massachusetts AvenueCambridge, Massachusetts02139–4307

Phone 617–253-3331Email edernst@mit.eduhttp://skoltech.mit.edu

Project Title: Insert brief title for project, no more than 75 characters including spaces [Change all fonts throughout document to Roman when you fill in your text.]

Principal Investigator: Give name, full affiliation, and title of PI

Co-investigators: Names, affiliations, and titles of Co-Is at MIT and elsewhere

AO/FO: Name of Administrative Officer or Finance Officer responsible for accounts and/or finance in your office.

Proposal Category / Field: Please list specific proposal category & research area (Life Sciences & Biomedicine; Design, Manufacturing, & Materials: Energy: Computational and Data-Intensive Science & AI; Mathematical Physics; Photonics & Quantum Materials; Space; Innovation & Entrepreneurship; International collaborative programs; Technology and Policy; Russian studies in general; or other field that describes your proposal)

Grant Period: MM/DD/YYYYstart – MM/DD/YYYYend

Total Budget: US$ xxx,xxx

Grant renewal application: Yes/No

Layperson’s Description: Please describe your project and its potential impact in terms appropriate for a general audience and for posting on our website. Include any technology to be developed, methods to be applied, and problems approached. Three or four sentences totaling no more than 100 words, plus one figure.

Please submit Word and PDF versions of proposal and Excel and PDF versions of budget to Deliana Ernst of the MIT Skoltech Program (edernst@mit.edu).

Abstract Project abstract (150 words maximum)

Proposal Body

What are the main objectives of the project? How will the objectives be achieved? Describe the methodologies that will be used. Two pages of text should be sufficient for most projects. If a renewal, briefly summarize progress to date.

Impact on Skoltech or Skolkovo Foundation

Describe how the project has the potential to benefit either the development of Skoltech or the mission of the Skolkovo Foundation.

Collaboration with Skoltech or Other Russian Academic and Research Institutions

Will the project involve collaboration with Skoltech or one or more other Russian academic or research institutions, and if so, in what ways and with what expected outcomes? Otherwise state “None.”

Student participation

Describe the MIT and/or Skoltech student participation in the project, if any.

Other Funding

State any existing or pending funding, or current or anticipated applications for other funding to support this project, whether inside or outside of MIT, the amount of funding, the timeline for decision, and the relationship between that project and this proposal.

Russian or MIT/Skoltech Funding

Has the team received funding (in the past, presently, or proposed), from the MIT Skoltech Initiative or Program, Skoltech, or the Skolkovo Foundation? Describe that funding and project, and its relation to the current proposal. Otherwise state “None.”

Intellectual Property

To make use of technology described in this proposal, are there MIT or other IP declarations or patents to which access must be obtained? If so, please list them and describe their role. Otherwise state “None.”

Project Sustainability

After MIT Skoltech seed funding, how might the project continue to be supported?