30 Day Notification of Intent to Submit an SBIR/STTR Grant Application with a Small Business Concern (SBC)

Future Students

Undergraduate Students

Graduate Students

Parents & Family

Alumni

Faculty & Staff

Researchers

Patients

Colleges & Schools

Please provide your full name, email, and phone number.

Name:*

Invalid Input - This message should not appear since no validation rules were set on this field.

Email:*

Please provide a valid email address.

Phone:

Please provide a valid phone number using the "123-456-7890" format.

Please provide the following information regarding the SBIR/STTR grant application with SBC.

What kind of award is being applied for?*

SBIR

STTR

Please select either SBIR or STTR for the type of award.

Please provide the Project Title or Project Short Title.*

0/5000

A title must be provided.

Please provide the URL link for the funding opportunity announcement.*

0/1000

Please provide a web page address (URL) for the funding opportunity announcement.

Deadline Date:*

Invalid Input

UAB PI Name:*

Invalid Input

UAB PI's Primary Department:*

Invalid Input

SBC PI Name:*

Invalid Input

SBC PI Email:*

Please provide a valid email address.

SBC PI Phone:

Please provide a valid phone number.

Does the SBC PI hold a UAB Employment or a UAB Title?*

Yes

Invalid Input

Are there any supervisory roles/reporting lines between the SBC PI and the UAB PI?*

Yes

Invalid Input

Name of SBC:*

Invalid Input

SBC CEO Name: *

Invalid Input

SBC CEO Email:

Invalid Input

Does the SBC CEO or any of the SBC managerial team hold UAB Employment or a UAB Title? If yes, please list each person below.*

Yes

Invalid Input

If yes, list each person.
If no, type "N/A".*

0/5000

Invalid Input

Equity Information

Does the UAB PI or immediate family hold equity in the SBC applying for the award?*

Yes

Invalid Input

Does any other UAB employee or employees hold equity in the SBC applying for the award? If yes, list each name and percent equity held below:*

Yes

Invalid Input

If yes, list names and percent equity.
If no, type "N/A".*

0/5000

Invalid Input

Does UABRF have any equity in the company?*

Yes

Invalid Input

If yes, provide the percent equity.
If no, type "N/A".*

Invalid Input

Does the UAB PI hold a position* with the SBC applying for the award?*

Yes

Invalid Input

*For example, a Scientific Officer, etc. Note that UAB does not allow the PI of the UAB subaward to hold a “C-Suite” managerial position in the SBC.

If yes, list the position held with SBC.
If no, type "N/A".*

Invalid Input

If yes, I confirm that I have received institutional approval to participate in this activity via an External Activity Request Form.*

Yes

Invalid Input

Proposed Federal Funding Agency:*

Invalid Input

Is this a Phase I or Phase II Small Business Grant Funding Opportunity?*

Phase I

Phase II

Please select a phase or Other.

Will the SBIR/STTR use UAB IP or know-how?*

Yes

Please select either Yes or No.

If yes, please list the UAB Invention Numbers.
If no, type "N/A".*

Invalid Input

Does this project involve human subjects research?*

Yes

Yes or No must be selected.

Is this project a clinical trial?*

Yes

Yes or No must be selected.

Does any UAB employee (or the spouse or dependent(s) of any UAB employee) have a financial interest in this SBC, including IP licensed via the home institution?*

Yes

I do not know

Please select "Yes" or "No" or "I do not know" as appropriate.

Comments:

0/5000

Invalid Input

Submit the form.

Form Version: 2026.07.24.001