F2024 Blueprint Application

Blueprint Fall 2024 Application

Blueprint, by The Engine, is a non-resident program for graduate students, postdocs, research scientists, faculty members, and their teams. The program focuses on exploring the commercialization prospects of innovative research and startup projects. This application is for the Fall 2024 Cohort and is designed to take about 15 minutes to complete. For further information, please visit our FAQ page at engine.xyz/blueprint or contact us at blueprint@engine.xyz with any additional questions. The deadline for applications is August 19th, at 11:59 pm EST.

How you heard about Blueprint

In this section, please additional details about how you heard about the program.
How did you hear about Blueprint?*
Who from The Engine encouraged you to apply?*
From which university club/organization did you hear about Blueprint?*
From which university/TLO office did you hear about Blueprint?*
From which event did you hear about Blueprint?*
How did you hear about Blueprint?*
Which previous Blueprint participant recommended you to apply?*
Who was the Professor/PI recommended you to apply?*

Commercialization Collaborators

For this cohort, we are introducing Commercialization Collaborators: experienced individuals who will work as part of your team, offering practical guidance and industry insights. Unlike Blueprint Mentors, Commercialization Collaborators actively participate in your project, helping to address the specific challenges of commercializing innovations.
Are you interested in being paired with a Commercialization Collaborator?*

YesNo
What is your primary area of need?*
What is your secondary area of need?*
What is your tertiary area of need?*

Primary Applicant

In this section, please enter the information of your team leader. This information is for us to better understand who will be the primary contact for the team throughout the program. It is for internal use only and your responses will be kept private and secure.
Your Name*

First NameLast Name
Your Email*
example@example.com
Your LinkedIn*
Which of the following best describes you?*
Please select which BEST describes you currently
What college/university?*
To select multiple options, hold down the Control (Ctrl) key if you are using a PC system or the Apple key if you are using a Macintosh system, while you click on the several options that you wish to select.
If other, please enter your college/university.
Which National Lab?*
Please describe your background.*
What program or department?*
Who is your faculty advisor?*
What is your expected graduation date?*
Where are you based?*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
What is your availability for in-person programming?*
Which of the following best describes you? (Select all that apply)

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteOther
Are you Spanish, Hispanic, or Latinx?

YesNo
What is your gender identity?

Extension Tracks

Besides the core Blueprint program, we are extending the program offering to include a specialized track on Dual Use Technologies. This track allows the time and space to dwell deeper into a topic, meet experts, and explore new areas of potential for your technology. In the Dual Use Track, you will discover the Federal government's commitment to supporting early-stage innovators by utilizing its vast resources.
If the extension track is offered, would you be interested in participating?*

YesNo

Additional Team Members

If you have additional team members actively involved in developing your Blueprint concept, please provide their details. We will include all team members in Blueprint programming and communications to ensure everyone receives relevant information and opportunities for participation.
How many additional teammates do you have?*

Additional Teammate 1
Name*

First NameLast Name
Email*
example@example.com
LinkedIn*
Which of the following best describes your teammate?*
Please select which BEST describes them currently
What college/university?*
To select multiple options, hold down the Control (Ctrl) key if you are using a PC system or the Apple key if you are using a Macintosh system, while you click on the several options that you wish to select.
If other, please enter your college/university.
Which National Lab?*
Please describe their background.*
What program or department?*
Who is their faculty advisor?*
What is their expected graduation date?*
Where are they based?*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
What is their availability for in-person programming?*
Which of the following best describes them? (Select all that apply)

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteOther
Are they Spanish, Hispanic, or Latinx?

YesNo
What is their gender identity?

Additional Teammate 2
Name*

First NameLast Name
Email*
example@example.com
LinkedIn*
Which of the following best describes your teammate?*
Please select which BEST describes them currently
What college/university?*
To select multiple options, hold down the Control (Ctrl) key if you are using a PC system or the Apple key if you are using a Macintosh system, while you click on the several options that you wish to select.
If other, please enter your college/university.
Which National Lab?*
Please describe their background.*
What program or department?*
Who is their faculty advisor?*
What is their expected graduation date?*
Where are they based?*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
What is their availability for in-person programming?*
Which of the following best describes them? (Select all that apply)

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteOther
Are they Spanish, Hispanic, or Latinx?

YesNo
What is their gender identity?

Additional Teammate 3
Name*

First NameLast Name
Email*
example@example.com
LinkedIn*
Which of the following best describes your teammate?*
Please select which BEST describes them currently
What college/university?*
To select multiple options, hold down the Control (Ctrl) key if you are using a PC system or the Apple key if you are using a Macintosh system, while you click on the several options that you wish to select.
If other, please enter your college/university.
Which National Lab?*
Please describe their background.*
What program or department?*
Who is their faculty advisor?*
What is their expected graduation date?*
Where are they based?*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
What is their availability for in-person programming?*
Which of the following best describes them? (Select all that apply)

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteOther
Are they Spanish, Hispanic, or Latinx?

YesNo
What is their gender identity?

Additional Teammate 4
Name*

First NameLast Name
Email*
example@example.com
LinkedIn*
Which of the following best describes your teammate?*
Please select which BEST describes them currently
What college/university?*
To select multiple options, hold down the Control (Ctrl) key if you are using a PC system or the Apple key if you are using a Macintosh system, while you click on the several options that you wish to select.
If other, please enter your college/university.
Which National Lab?*
Please describe their background.*
What program or department?*
Who is their faculty advisor?*
What is their expected graduation date?*
Where are they based?*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
What is their availability for in-person programming?*
Which of the following best describes them? (Select all that apply)

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteOther
Are they Spanish, Hispanic, or Latinx?

YesNo
What is their gender identity?

Do you have any additional thoughts or information you'd like to share with our team?
This space is open for any other relevant information you feel is important for our team to consider in your application. Feel free to share documents, media, or insights that provide a fuller understanding of your project and its potential. Many teams opt to include a slide deck or a link to a research paper that underpins their work for Blueprint.
Should be Empty:

Blueprint Fall 2024 Application

Concept and Technology Innovation

How you heard about Blueprint

Commercialization Collaborators

Primary Applicant

About You

Extension Tracks

Additional Team Members

Additional Teammate 1

Additional Teammate 2

Additional Teammate 3

Additional Teammate 4