Meet with a KCV Team Member
*Required
First Name
*
If preferred name is different than legal first name, please include in parentheses following legal first name.
Last Name
*
Pronouns
Email Address
*
example@example.com. Please provide institutional email address if available.
Phone Number
*
Please enter a valid phone number.
What institution are you affiliated with?
*
Please Select
Eastern Kentucky University
Kentucky State University
Morehead State University
Murray State University
Northern Kentucky University
Western Kentucky University
Ashland Community & Technical College
Big Sandy Community & Technical College
Bluegrass Community & Technical College
Elizabethtown Community & Technical College
Gateway Community & Technical College
Hazard Community & Technical College
Henderson Community College
Hopkinsville Community College
Jefferson Community & Technical College
Madisonville Community College
Maysville Community & Technical College
Owensboro Community & Technical College
Somerset Community College
Southcentral Kentucky Community & Technical College
Southeast Kentucky Community & Technical College
West Kentucky Community & Technical College
Other
Other
How are you affiliated with the institution
*
Faculty
Staff
Student
Other
What option(s) best describes the reason for your consultation? You may select more than one.
*
General questions
Discuss registering or filing Intellectual Property (IP)
Discuss whether you need to submit an Idea Disclosure Form (IDF)
Discuss how to fill out and submit an Idea Disclosure Form (IDF)
Discuss the status of a currently-submitted Idea Disclosure Form (IDF)
Discuss an IP-related agreement, Material Transfer Agreement (MTA), and/or Non-Disclosure Agreement (NDA)
Discuss funding options and opportunties
Discuss partnerships/third-party engagements
Other
Do you know which team member you would like to meet with?
*
Yes
No
Select which team member you would like to meet with. You may select more than one.
Kayla Meisner, Executive Director
Caroline Stivers, Associate Director of Operations
Jericho Wilkerson, Licensing & New Ventures Manager
Myron Adams, Licensing & New Ventures Manager
Please list your preferred date to meet with a KCV team member.
*
-
Month
-
Day
Year
What time of day works for you?
*
Morning
Afternoon
No preference
Submit
Should be Empty: