SBI Project of the Year Affidavit and Client Release

SBI: 2021

The following is required for each project submission to the SBI POY

Return to POY Entry Screen

Project Client Name *

Project Faculty Lead *

School *

Faculty Lead EMAIL *

As Faculty Lead for POY submitted project, I hereby certify that: (1) the above named Project Client first received the original copy of the submitted consulting report, (2) the students listed on the submission entry produced the report, (3) at the time they prepared this report, the students were either upper division undergraduates or graduate students at my institution, and (4) we appropriately classified this entry (if there is at least one graduate student on the student team we classified the report as a graduate entry).

Signature of Contact Person or Project Faculty Lead: (Electronic Signature Accepted (type your name)- Hard copy with original signatures should be submitted with Project as an Appendix) *

Date Submitted *

Date

Client Release:

I understand and agree that the above referenced Faculty Lead (Entrant) may enter the consulting report prepared for my company in the SBI Project of the Year Competition. Judges for this competition will be volunteers, acting independently of the Entrant and SBI. To protect sensitive information, judges will sign confidentiality agreements, promising to hold the contents of consulting reports in strict confidence. I understand my company"s analysis will not be disguised. I agree that the Entrant and SBI may use the following for publicity purposes: my name, my title, my venture"s name and location, photographs, a general description of my company, and a general description of the students" work and how their work benefited my company. The Entrant and SBI will not release specific information regarding my business except the above without my prior written permission.

Signature of Client or Authorized Officer: (Electronic Signature Accepted (Type your name)- Hard copy with original signatures should be submitted with Project as an Appendix) *

Date Submitted *

Date

Click submit and you will return to POY Entry form to submit another project.

If you have any questions - send e-mail to:

Jana Minifie,PhD
Director, Service-Learning Excellence Program
Texas State I-Corps Site for Entrepreneurship
Texas State University
jm13@txstate.edu
512-245-3187