Arrowhead Center SBIR Accelerator (ACSA) Application - NIH 2021 April 5th Submission
The Arrowhead Center SBIR Accelerator (ACSA) program - tailored for the National Institutes of Health (NIH) April 5th deadline - is a 12-week cohort-based program that offers real-time support for small businesses or faculty researchers preparing a SBIR/STTR proposal package. Drawing on the resources and expertise of NM FAST, ACSA will provide cohort participants a guided, structured track of support from registration to submission. During the course of the 12-week program, participants will receive guidance on areas such as selecting a relevant topic area, preparing an accurate budget, and creating a complete proposal package that adheres to all NIH requirements.

This cohort of ACSA is supported by the ASCEND Hub. More information on ASCEND can be found here: http://ascendhub.org/. Participants must be working with a university, or be part of a university, that is looking to transition technology to the commercial market.
Sign in to Google to save your progress. Learn more
Personal Information
Are you a small business, or will you be working with a small business on this proposal? *
Are you are affiliated with an institution from the Western IDeA states? If so, which institution are you affiliated with?
Western IDeA states are: Alaska, Hawaii, Idaho, Montana, Nevada, New Mexico, and Wyoming
If you are not affiliated with an institution from the Western IDeA states, which institution are you affiliated with? *
First Name *
Last Name *
Phone Number *
Email Address *
Small Business Information
If you are not affiliated with a small business at this time, please skip this section.
Business Name
Business City
Business State
NAICS Code(s)
Business Identifiers
The SBIR/STTR programs are designed to help small businesses drive innovation towards the commercial market. As such, certain restrictions and regulations are required to be eligible for SBIR/STTR funding. For NIH, a small business must meet the following eligibility requirements:

-Be a small business with 500 or fewer employees
-Be independently owned and operated and organized for profit
-Have its principal place of business in the United States
-Be at least 51% owned by U.S. citizens or lawfully admitted permanent resident aliens
I hereby affirm that my small business or the small business I am or am planning to work with meets all SBIR/STTR program eligibility requirements. *
Innovation Information
Please provide brief information on the innovation or technology you are working on.
Description (100 words or less) *
Prior experience
Have you prepared an SBIR/STTR package before? *
Have you submitted an SBIR/STTR proposal to NIH/HHS before? *
Have you prepared an SBIR/STTR Phase I or Phase II proposal before, no matter the agency? *
Have you received an SBIR/STTR Phase I or Phase II award before? *
If yes, please provide the agency and the date of award.
Knowledge of NIH SBIR/STTR program
While NIH funds through both grants and contracts, this accelerator will only focus on grant funding through the NIH SBIR/STTR program.

More information on the NIH SBIR/STTR programs can be accessed here: https://sbir.nih.gov/
On a scale of 1-10, how familiar are you with the NIH SBIR/STTR programs *
Not at all familiar
Very familiar
Do you know which institute at NIH you would like to apply under? Institutes include: NCATS, NCCIH, NCI, NIA, NIAAA, NIAID, NIAMS, NIBIB, NICHD, NIDA, NIDCD, NIDCR, NIDDK, NIEHS, NEI, NIGMS, NHLBI, NHGRI, NIMH, NIMHD, NINDS, NINR, NLM, ORIP. More information on institutes can be viewed here: https://sbir.nih.gov/  *
Required
If yes, which institute would you like to apply to?
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms