PI Transfer Questionnaire

First Name *

Last Name *

Email Address *

Phone Number *

Department *

Department Administrator *

Dept Admin Email *

Contact Email *

Please provide an email where you may be contacted after you leave CU.

Contact Phone Number *

Please provide a phone number where you may be reached after you leave CU.

Anticipated Departure Date *

Month

Day

Year

New Institution *

Please provide the name and address of the institution to which you will be transferring.

Admin Contact New Institution *

Please provide the full name of the Legal or Administrative Contact at your new institution. Include their email and/or phone number.

Named Researcher *

Are you a named Researcher on any active Sponsor Awards?

Yes

No

You have indicated that you are a named Researcher on active Sponsor Award(s) and/or have submitted active proposals that have not yet been awarded. Upon submission of this questionnaire, you will receive an email from OCG@colorado.edu asking you to complete the Active Projects: Awards and Proposals Form. This form should be sent to your department's Contract Officer, Grant Officer and Proposal Analyst, which can be located at Colorado.edu/ocg/directory.

Active Proposals *

Do you have any active proposals that have not been awarded?

Yes

No

Lab *

Are you responsible for a lab?

Yes

No

Research Restrictions *

Does your research involve any of the following? (check all that apply)

TTO *

Have you filed any invention disclosures with the Technology Transfer Office during your tenure at CU Boulder?

Yes

No

Transfer Materials *

Do you wish to transfer any research materials, data, or software to your new institution?

Yes

No

Transfer Equipment *

Do you wish to transfer any equipment to your new institution?

Yes

No

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PI Transfer Questionnaire