SAMPLE. Do you plan to use any of the following CITRIS facilities for the proposed project? (No response) (No response) (No response) (No response)

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1 Project Title Project Summary Please enter an abstract of 250 words or less Project initiative Project Initiative choice Do you plan to use any of the following CITRIS facilities for the proposed project? For more information on these facilities visit: Marvell Nanofabrication Lab CITRIS Invention Lab No Responses Selected Project Information Brief narrative: Describe the problem your project aims to address and the methodology or process you propose. (1,500 words or less) Impact statement: What result do you hope to achieve? What potential impact will the research results have on the field? On society? (500 words or less) Budget narrative: Please give a brief summary of the budget categories and amounts needed for the proposed research. (500 words or less) Downstream project applications: What opportunities do you anticipate for building on the results of this seed grant, if awarded? Describe larger grant proposal opportunities or partnerships here. (500 words or less) 2 / 8

2 Citations (Include any citations relevant to the Project Information given above.) Lead Principal Investigator information You will have the opportunity to add co-pis on the following page. Full Name Campus Affiliation Address Home Department URL for professional curriculum vitae and/or publication information Does this application include any pre-tenured faculty? Inclusion of pre-tenured faculty is encouraged but not required. response) (No 3 / 8

3 Prior CITRIS Seed Grant Awards Have you received CITRIS seed funding in the past? Co-Principal Investigator information This section allows you to add all of the co-pi's on your project. On the next section, you will have a chance to add co-pi's into the SurveyMonkey Apply system so they will have access to the proposal and can edit it as needed. From your Application screen, click the option to Add Collaborators and invite your co-pi's. First co-pi's Full Name First co-pi's Address First co-pi's Campus Affiliation First co-pi's Home Department Do you have another co-pi to add to this proposal? Additional Co-Principal Investigator information 4 / 8

4 Second co-pi's Full Name Second co-pi's Address Second co-pi's Campus Affiliation Second co-pi's Home Department Do you have third co-pi to add to the proposal? Additional Co-Principal Investigator Information Third co-pi's Full Name Third co-pi's Address Third co-pi's Campus Affiliation response) (No 5 / 8

5 Third co-pi's Home Department Do you have fourth co-pi to add to the proposal? Additional Co-Principal Investigator Information Fourth co-pi's Full Name Fourth co-pi's Address Fourth co-pi's Campus Affiliation Fourth co-pi's Home Department Do you have fifth co-pi to add to the proposal? response) (No 6 / 8

6 Additional Co-Principal Investigator Information Fifth co-pi's Full Name Fifth co-pi's Address Fifth co-pi's Campus Affiliation Fifth co-pi's Home Department Budget Section Finances Proposal total Salary/benefits sub-total Travel sub-total Equipment/supplies/expenses sub-total (nontravel) 7 / 8

7 Campuses where funds will be spent To help us track multicampus fund distributions, a dollar amount is required in each field below. Click here to view a table of the funds available per award, then indicate how you plan to distribute them below. None None None None None None Not Used PI Name Amount UC Berkeley UC Davis UC Davis Medical Center UC Merced UC Santa Cruz ITESM Upload Illustrations Incomplete Optional: Upload one file (pdf, jpg, png) as necessary for illustrations. This is an optional task to upload a single file for illustrations, renderings or graphs to support your proposal. 8 / 8