The 2008 IMC and Williamsport/Lycoming KIZ (WLKIZ) Market Research Innovation Prize — Online Nomination Form
  1. Enter the name, title, organizational affiliation, telephone number and complete mail address of the person making the nomination.
  2. Indicate the complete name of the company. Indicate the name of the person responsible for the company’s operations or the product manager.
  3. Please include a statement about the company including its history in Pennsylvania, employment level and products. Attach appropriate documentation if available.
  4. As finalists’ references may be contacted for verification of programs, activities and accomplishments, please choose a reference who is familiar with and can be available to discuss the company’s activities.
  5. This form may be completed online or in print. All applications are due to the IMC by January 15, 2008 and the prize will be awarded in February 2008.
  6. Incomplete or late applications will NOT be considered.

Please check the prize for which you are applying:
   

IMC Innovation Research Prize
WLKIZ Innovation Research Prize

     
Nominating Entity
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Contact Person/
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Mailing Address
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In recognition of their current or potential contribution to innovation in manufacturing and/or product development need, I hereby recommend the following company for the IMC Innovation Research Prize
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Company
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Contact Person
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Title
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Mailing Address
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Telephone
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Email
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Chief Executive Officer
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Please describe your company including its history in Pennsylvania, employment level
and products.

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Reference
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Name/Title
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Organization
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Mailing Address
   
Telephone
   
Fax
   
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Address each area of the prize assessment criteria below
   

What research or market intelligence need(s) do you want to address? Describe this need, and explain the problem or opportunity that the proposed project will address and how it will assist you in your product/innovation efforts.

How will this information help you?

What result or outcome is of importance to you?

How will it benefit the various Pennsylvania stakeholders (customers, employees, local economies) such as adding value for customers, enhancing quality of life for employees and contributing to society?

How will you use the information to improve or challenge your current practices in the development of new products and processes?

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