Please complete this IDF with as much detail as possible to facilitate appropriate review and protection of your invention. If there is insufficient space, please complete your answer on a separate sheet of paper and attach to this form. All attachments should be dated and signed by contributor(s). Answer “None” or “Not Applicable” where appropriate.

Signatures of all Contributors are required at the time of submission. 

This is a confidential document and its contents will not be communicated in any way outside of the Innovation Lab and their contractors.

Please follow the guidelines below:

• Continue to keep your invention confidential after submission of this form;
• Date and mark any documents disclosing your invention as “Confidential”
• Do not discuss any aspects of your invention outside of The Innovation Institute or its subsidiaries unless the disclosure is made under a current confidentiality agreement covering the subject matter and signed by an authorized individual at the Member organization through which you are participating in The Innovation Institute, as identified in the Contributor Details chart set forth below (your “Sponsor Organization”).