MSIP Accelerator EoI Form

Innovation Challenge 2 Application Form

Page 1 of 5
MSIP Innovation Challenge - Introduction

Michelin Scotland Innovation Parc (MSIP) aims to support the development and delivery of innovation across the sustainable mobility and decarbonisation sectors.

This second Innovation Challenge will exploit Dundee's reputation for innovative electric vehicle implementation by delivering new models for personal transport and commuting whilst addressing the Scottish Government’s challenging Net Zero targets for transport.

We welcome your interest and application to participate in our MSIP Innovation Challenge.
PART 1 - ABOUT THE LEAD ORGANISATION

Please provide us with details of your organisation in the following sections
Organisation Name*
Please provide the legal company name
Company Registration Number*
Please provide the legal company name
Is the lead organisation an SME?*

YesNo
Trading Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Registered Address (if different from trading address)

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Organisation Website*
Please provide your web address
Company Details*
Please provide a brief description of your company, technology and growth ambitions
Lead Contact Name*

First NameLast Name
Lead Contact Phone Number*

Area CodePhone Number
Lead Contact E-mail*
Please provide your Email address for all future communications
Is the organisation known to Business Gateway, Scottish Enterprise, Highlands and Islands Enterprise or South of Scotland Enterprise?*

YesNo

Cohort 3 Application Form

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PART 2 - PROJECT SUMMARY

Please provide us with an overview of your project in the following sections
1. Project Title*
Please provide a working title for the project that is suitable for publication
2. Brief Abstract for publication (150 words, 600 chars max)*
Please provide an abstract for the project that is suitable for publication
3. Core activities of the company (150 words, 600 chars max)*
Please provide a brief description of the business and it’s key markets
4. Where will the work be carried out? (150 words, 600 chars max) *
Please indicate where the work will be carried out. If this is more than one location, please detail
5. Project Duration (months) *
Please indicate how long the project is likely to take and include Start and End Dates
Start Date*

DayMonthYear
End Date*

DayMonthYear
6. Total Project Cost (£)*
Please provide the total project cost including all cash and in-kind contributions
7. Total Grant Requested (£) *
Please detail the amount of grant requested in cash and in-kind

8a. Project Impact. Please confirm your current turnover and employee numbers and provide an indication of you projected growth because of the project

	Current	At end of project	3 Years after project
Annual Turnover (£/yr)
Number of Employees (No.)
How many of the planned new jobs will pay the real living wage? (No.)
New or improved services and/or products and/or Intellectual Property (No.)
What do you estimate the met CO2 reduction impact to be? (est. Tonnes/yr)

8b. Supporting Documents

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Please upload any supporting documents such as a summary of project impacts Cancelof

Cohort 3 Application Form

Page 3 of 5
PART 3 - PROJECT DETAILS

Please provide us with details of your project in the following sections. Please refer to the guidance document for further information.
1. Project Proposal (600 words, 3500 chars max) *
Explain your idea and how it responds to the Innovation Challenge scope as clearly and concisely as you can. Please cover the points below; • What is the market challenge you are addressing • How will your project solve it (describe the technical challenges and activities to address these) • What is the current TRL level
2. Project Innovation (600 words, 3500 chars max)*
Explain the key innovations in your project. Please cover the points below; • How does the project improve current market solutions • Outline your IP and freedom to operate • What new IP will be created from the project and how you will exploit this
3. Commercial Potential (600 words, 3500 chars max)*
Outline the commercial opportunities presented by your project. Please cover the points below; • Proposed route to market and target customers • What is your competitive advantage and USP
4. Project Team and Resources (600 words, 3500 chars max)*
Provide a brief description of the delivery team, their skills and experience and contribution with relevance to the project. Please indicate the time they will spend on the project and the relevant commercial and business expertise that will ensure successful completion and commercialisation of the project. This can include staff, partners and subcontractors or consultants.
5. Project Plan (600 words, 3500 chars max)*
Indicate how the project will be managed. Please provide a project plan as a separate Gantt chart or in PDF form. The project plan should cover the points below; • Activities, milestones, deliverables • Activity owners and team contributors • Key risks and mitigating actions can be captured separately
6. Need for Support (600 words, 3500 chars max)*
Demonstrate the need for support.

7. Project Finances. Outline the project finances by providing a detailed breakdown of costs excluding VAT.See Guidance document for further details

	Lead Applicant (£)	Collaborator (£)	Other (£)	TOTAL (£)
Salary Costs (Please specify)
Consumables (please specifiy)
Subcontractors (Please specify)
Fees (Please specify)
Overheads (Please specify)
Travel and Accommodation (Please specify)

Cohort 3 Application Form

Page 4 of 5
PART 4 - ALTERNATIVE FUNDING and DE MINIMIS AID

1. Alternative Funding Indicate which other funding sources you are considering (C) or planning (P) to access to support your longer-term innovation activities? (Please specify and list in the table below)*

	Considering	Planning
UK Funding Sources
Interface Vouchers (Standard or Advanced Innovation)
SE/HIE Funding (eg SMART, R&D Grant)
InnovateUk Funding (KTP, SMART etc)
EU & Other Funding Sources (EG H2020, INTERREG)
Other

2. Alternative Funding (150 words, 600 chars max)*
Indicate how will you proceed if your funding application is not successful?

3. De minimis aid. List all offers of de minimis public sector support from a United Kingdom source received by the applicant organisation and any enterprise linked to the applicant business during the previous 3 company fiscal years. Please enter "NIL" if required.*

	Fiscal Year	Public Sector Source and Title of Project/Scheme	Amount of de minimis aid
Project 1
Project 2
Project 3
Project 4
Project 5
Project 6
Project 7
Project 8

Cohort 3 Application Form

Page 5 of 5
PART 5 - DATA PROTECTION AND DECLARATION

I/we understand that Michelin Scotland Innovation Parc and its partners (The Data Lab, CENSIS, Scottish Enterprise and other associated bodies such as local delivery organisations, consultants and agents collectively referred to as “the Agencies”), will use the information that I/we provide on this application form to assess my/our suitability for support. I/we understand if my/our application is successful, Michelin Scotland Innovation Parc and its partners will use the information provided in this application form for administration and management purposes, including carrying out appropriate checks, audits, and marketing. Michelin Scotland Innovation Parc may provide aggregated information regarding your company and the grant claimed to auditors or its agents for administrative purposes. I/we understand that if this application is unsuccessful, it may be passed to other Agencies to allow alternative support mechanisms to be considered. By accepting any subsequent funding award, you authorise Michelin Scotland Innovation Parc to process your personal data for the following purposes: 1. Sharing information about future funding calls 2. Sharing information about future MSIP events and activities 3. Publishing photos on social media (LinkedIn, Twitter, Facebook and Instagram) 4. Publishing Videos on social media and YouTube 5. Publishing photos on www.msipdundee.com 6. Publishing photos in printed marketing materials (e.g., brochures, posters, flyers, banners) You have the right to ask for a copy of the information that we hold on you and that is subject to the Data Protection Act 2018 to correct any inaccuracies in your information held by us. If at any time you wish your details to be removed from our database please contact Michelin Scotland Innovation Parc, Baldovie Road, Dundee, DD4 8UQ, Scotland, UK, or email Info@MSIPDundee.com.
Free Text
Any other relevant information you would like to share.
Supporting Documents

Browse Files
Please upload any additional supporting documents. such as project plan, financial plan Cancelof
Acceptance*

Please select to acknowledge that you confirm that you are an authorised officer of the business and accept the Data Protection and Declaration Statement.
Should be Empty:

Innovation Challenge 2 Application Form

MSIP Innovation Challenge - Introduction

PART 1 - ABOUT THE LEAD ORGANISATION

Cohort 3 Application Form

PART 2 - PROJECT SUMMARY

Cohort 3 Application Form

PART 3 - PROJECT DETAILS

Cohort 3 Application Form

PART 4 - ALTERNATIVE FUNDING and DE MINIMIS AID

Cohort 3 Application Form

PART 5 - DATA PROTECTION AND DECLARATION