EIC Innovation Bootcamp 4.0 - Application Form

Section 1 - Project Information

The information you provide on the application form will only be used for the purposes of the European Innovation Council (EIC).
The EIC will contact all applicants once the selection process has been concluded. However, this contact does not include feedback or recommendations to those not selected.
The EIC Innovation Bootcamp is exclusive to EIC Pathfinder (e.g. FET-Open, FET-Proactive) and Transition researchers/individuals as representatives of consortia/projects. Please make sure to have information about your EIC-funded project to be able to fill in Section 1 of this form.

EIC Project Acronym*

EIC Project Number*

Please provide a short description of the project idea/innovation your team wants to develop with the EIC Innovation Bootcamp 4.0*

A short description will provide a quick reference for the EIC Selection Committee and, if selected, may be used in any published material. Please use less than 300 words.

What is the current development stage of the project idea/innovation?*

(i.e. TRL, business readiness level, market applications)

Do you have a plan to make the results of your project reach the market?*

(e.g. licensing, spin-off, other)

Yes

Describe your team's motivation to apply for this initiative:*

Section 2: Team information - Entrepreneurial Lead

In Section 2 you will have to include information regarding the team member designated to act as Entrepreneurial lead.
The Entrepreneurial lead is responsible for the business orientation and entrepreneurial side of the idea/innovation (usually postdocs, PhD students or any researcher that could imagine herself or himself as a potential entrepreneur).

Name of team member:*

Gender of team member:*

Female

Male

Other

Organisation of team member:*

Please use the full legal name of the organisation

Country of team member:*

Please provide a short description of team member:*

Email adress of team member:*

Phone number of team member:*

Please upload a photograph of the team member:

Kindly note this may be used, if selected, on published material

LinkedIn page of team member:

Section 3: Team information - Technical Lead

In Section 3 you will have to include information regarding the team member designated to act as Technical lead.
The Technical Lead is responsible for the technological development of the project idea/innovation.

Name of team member:*

Gender of team member:*

Female

Male

Organisation of team member:*

Country of team member:*

Please provide a short description of team member:*

Email address of team member:*

Phone number of team member:*

Please upload a photograph of the team member:

Kindly note this may be used, if selected, on published material

LinkedIn page of team member:

Section 4: Additional information

In Section 4 you will have to include information regarding additional team members.

How many applicants will represent your project?*

Minimum of 2 applicants required, fulfilling the entrepreneurial lead and technical lead mandatory roles

Declaration
I declare that the information included in this application is true and accurate.

The information is public (excluding contact details) and will be used for promotion purposes. The information can be used by the EIC Business Acceleration Services team on the EIC Community, European Commission webpage, and for any other relevant promotional material or channel.

When necessary, the data will also be transferred to the organisers of the event to be published on their webpage, and any other relevant promotional material or channel.

The information supplied to the EIC will be treated in accordance with the European Union data protection and privacy regulations (Council Regulation 2018/1725). The information will only be used for the purposes of the EIC.

Please read the privacy statement here.

Should you have any questions regarding the event or your eligibility, please contact us through our helpdesk. Please choose "EIC Innovation Bootcamp" as the subject.*