CIA Application form

Project Title (required)

Primary Inventor & main point of contact for the Awards

First Name: (required)

Last Name: (required)

Staff/ Student ID: (required)

School/ Faculty: (required)

Email: (required)

Mobile Number:

Co-Inventors if applicable - 1

First Name:

Last Name:

Staff/ Student ID:

School/ Faculty:

Email:

Mobile Number:

Co-Inventors if applicable - 2

First Name:

Last Name:

Staff/ Student ID:

School/ Faculty:

Email:

Mobile Number:

Co-Inventors if applicable - 3

First Name:

Last Name:

Staff/ Student ID:

School/ Faculty:

Email:

Mobile Number:


Your Innovation

Describe your innovation briefly and in simple terms.
What is it? What does it do? How does it do it?

Outline the key advantages and benefits of your innovation, business idea or technology.

Consider the key points of difference over competitors.

If no competitors exist, identify key reasons why users would adopt your innovation, rather than take no action.


How did you hear about the Awards program:

Terms and Conditions [Download the Terms and Conditions.pdf]

By checking this box I accept the terms & conditions.