N.J. Admin. Code § 12:23-14.4

Current through Register Vol. 56, No. 23, December 2, 2024

Section 12:23-14.4 - Application for IRFP grant

(a) The application for an IRFP grant shall be completed jointly by the applicant employer and the applicant fellow.

(b) Each applicant employer shall submit the application for an IRFP grant to the Commissioner in a format approved by the Commissioner. The completed application shall include, but not be limited to, the following:

1. Information regarding the applicant fellow, including, but not limited to, name, address, telephone number, undergraduate university attended, doctoral university attended, and name of dissertation advisor(s);

2. No fewer than two references from individuals who are familiar with the qualifications of the applicant fellow, along with the following information regarding each individual reference: name, title, institution, address, relationship to applicant fellow, and period of contact with applicant fellow;

3. Information regarding the university advisor of the applicant fellow, including but not limited to, name, university, department, address, and telephone number;

4. Information from the university advisor of the applicant fellow, including, but not limited to, existing relationship between his or her university research group and industrial partners; and relationship(s) that will be developed, extended, or enhanced by placement of the applicant fellow with the applicant employer;

5. From the applicant fellow:

i. One of the following:

(1) Birth certificate or passport for a United States citizen;

(2) Legal Permanent Resident Card for a legal permanent resident of the United States; or

(3) Immigrant visa, employment authorization, and proof of having submitted a completed I-485 application to the United States Citizenship and Immigration Service; and

ii. Postdoctoral CV including publication list; and

iii. A one-page explanation from the applicant fellow as to how his or her past or proposed research or skills are relevant to the applicant employer's mission and as to how the fellowship will benefit the applicant fellow;

6. Information from the applicant employer, including but not limited to, name and phone number of primary and secondary contact persons; company name, address, tax identification number; total number of employees; number of full-time employees; state of incorporation; date of incorporation; most recent two fiscal years' revenues; a list of all sources and amounts of third-party external funding the company has received from the State of New Jersey, the Federal government, venture funding and private investment, and initial public offering;

7. From the applicant employer:

i. Executive business plan;

ii. One-page resume for all key personnel;

iii. One-page summary of the proposed project written in laymen's terms;

iv. A demonstration of the scientific and technological viability of the applicant employer's business product(s), service(s), and/or process(es) and the company's technical ability to implement;

v. Certificate to conduct business in New Jersey;

vi. Project description (10-page limit), including detailed work plan, timeline, methods and milestones, measurable impact of project on company goals and business plan, resources available (lab facilities, equipment) and their relevance to the project, expected next steps for fellow following completion of the first year of the fellowship, and a simple Gantt chart showing the proposed milestones and timelines and measurable accomplishments agreed upon by both the applicant fellow and applicant employer;

vii. A statement as to how the applicant employer plans to provide mentorship to the applicant fellow;

viii. A one-page explanation from the applicant employer as to how the applicant fellow will help the company to meet its commercialization goals; and

ix. Liability insurance policies; and

8. Any other information or documentation the Commissioner deems appropriate.

N.J. Admin. Code § 12:23-14.4

Adopted by 50 N.J.R. 200(a), effective 1/2/2018