Project Title:   Required

Sponsoring Company Name and Division:   Required

Technical Contact Name:   Required
(primary contact person for the students, provides information, supervises team, reviews progress reports, arranges plant visits, attends kickoff meeting and final project presentation at PSU)

Address of Technical Contact:   Required
Street:
City:    State: Zip Code:
Phone: Fax:

Email address of Technical Contact:   Required

Your Organization's Website: (where students can learn about your company and products)

Overview and Motivation:   Required

Objectives and Deliverables: (please be as specific as possible)   Required

Recommended Team Composition: Interdisciplinary projects are encouraged, indicate all disciplines required
Industrial Engineering
Mechanical Engineering
Electrical Engineering
Computer Science and Engineering
Chemical Engineering
Other disciplines

Budget: A donation of $1800 is requested for a project team. Additional groups working on the same project cost $900 per team. Because this is a tax-deductible charitable contribution, no guarantees can be made on project outcomes, other than "Best Effort". Students are provided a working budget of $600 to cover direct expenses. The remainder covers overhead expenses of the Learning Factory (supplies, equipment replacement, teaching assistant wages, etc.). Additional funds may be required from the sponsor for specialized equipment, other unique project expenses, or for intellectual property ownership rights.
Check here to accept $1800/project team   Required

Number of Groups Supported: (Choose entry below, we suggest two for best results)   Required
One Group Only Maximum of Two Groups More than 2 Groups

Proprietary Information and Confidentiality Requirements:   Required
None
Confidentiality for sponsor-provided information: Click here for standard Penn State confidentiality agreement
Intellectual property ownership rights retained by sponsor: Click here for form that students are required to sign
Please note that there may be an additional administrative fee for Intellectual Property Ownership rights, and be aware that this stipulation may discourage students from choosing your project.

Additional information: Highly Recommended - such as pictures, drawings, brochures, etc. - List items here and send hard copy or email attachment to address shown below

Please print this form for your records