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Opportunity or Need for NASA Evaluation Form

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Collaborative Opportunity and Technical Need Intake Form

Please complete the form below to post your opportunity or need on the NHHPC web site, or to submit for confidential evaluation by NASA.

* Required Feilds

Is your organization an NHHPC member? *
 
Is information regarding your need or opportunity in the public domain or is the proposal for NASA evaluation only? *
 
Point of Contact Name *

 
Point of Contact Title *

 
Point of Contact Email *

 
Are you submitting this as an individual contribution or on the behalf of an organization? *
 
If for an organization, what is the name and website address of your organization? *

 
Type of Opportunity or Need *
Partnership/Co-development
 
Title of Opportunity *
e.g., Seeking a partner for xyz c-development effort, or request for technology demonstration of xyz innovation

 
Which of the below categories best fits your opportunity? *

                  Microbiology
  Extravehicular Activity (EVA) Physiology   Cardiovascular   Neuroscience
  Exercise Physiology   Immunology   Pharmacotherapeutics
  Nutritional Biochemistry   Biostatistics    

           
  Water and Food Analytics   Microbiology

                  Telemedicine
  Strength, Conditioning, and Rehabilitation   Clinical Risk Modeling   Occupational Health
  Crew and Ground Support Personnel Training   Medical Informatics   Epidemiology
  Human Test Subject Medical Monitoring   Medical Simulation   Telemedicine
  Crew Family Support        

                  Payload Labeling
  Human Systems Integration   Usability Analysis and Testing    

           
  Crew Exposure and Dosimetry    

     
  Food Acceptability, Selection, Production and Packaging

Other


 
Description *
Provide a concise description of your opportunity, e.g., the program or project for which you are seeking partners and information on other proposed partners; the advantages, goals / objectives of your technology or your collaborative opportunity, etc. (limit to 350 words or less please)

 
Constraints
Comment on any constraints you have regarding desired partners, or technological, economic, or legal aspects that are likely to impact your innovation's success

 
Additional Information
Add links to images or documentation, information regarding start-up or matching funds, additional contact or other relevant information

 
Market (if applicable)
Provide comments on your intended market and/or additional potential applications. What factors differentiate your innovation from others?

 
Development Stage (if applicable)

 
Intellectual Property Status (if applicable)

 
Response Deadline (if applicable)
Identify the date (MM/DD/YYYY) by which you require a response
 

 

Page Last Updated: June 3rd, 2014
Page Editor: Robert Lewis