KY Multiscale Seed Program Application Form

Name

First Name

Last Name

Affiliation/Institution

Position/Role

Phone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Message

Research Discipline

Please choose one of the following

Educator (Teacher/Faculty Member)

Student (Complete the "Students Only" section below)

Researcher

Other

Students Only: If you are a student, you must provide your Research Mentor's name and email address in this box below.

Project Title

Project Description: Describe project rationale, proposed work plan, necessary equipment, materials and supplies. Limit to 300 words.

Estimate Your Project Cost Here

Which KY Multiscale Facility do you intend to use

MNTC

Huson

Conn Center for Renewable Energy

AMIST

2 or more of the above

Justification: Provide a justification for free use of our facilities. Limit to 200 words.

Impact Statement: Describe anticipated impact on research, education, training of under-represented users or users from non-traditional disciplines. Limit to 50 words.

a site of the National Nanotechnology Coordinated Infrastructure (www.nnci.net)

ACKNOWLEDGMENT OF SUPPORT AND DISCLAIMER

This material is based upon work supported by the National Science Foundation under Grant No. 2025075. Any opinions, findings, and conclusions or recommendations expressed in this material are those of the author(s) and do not necessarily reflect the views of the National Science Foundation.

Seed Program Form

KY Multiscale Seed Program Application Form

KY Multi-Scale Manufacturing and NanoIntegration Node