CSIRO Kick-Start Program
Expression of Interest
This form will be used by the CSIRO SME Connect team to assist in locating the most suitable researcher/s
within CSIRO to undertake a project for your company. Once a researcher has been identified, you will be
put in contact with them and, if applicable, they will develop and cost a proposal for you. They can then
prepare a full application form which you will need to sign and attach appropriate documentation to. The
SME Connect team aims to review fully completed applications within 5-10 working days.
Please read the ‘CSIRO Kick-Start Program and Eligibility Guidelines’ document before emailing this form to:
Dr Megan Sebben, Kick-Start Program Manager, CSIRO SME Connect, [email protected]
Company Details
A1. Name: Company Name
A2. ACN / ICN: ACN or ICN.
Is the company Aboriginal and/or Torres Strait Islander-owned?
A3. Year of registration: Year of company registration
A4. Business address: Street/Building, Suburb, State, Postcode
A5. Website: Web address
A6. Contact person name: Contact name
Position: Position in company
Telephone number: Phone number
Email address: Email address
A7. Number of employees: Number of employees
A8. Have you read the Kick-Start Program Guidelines?
A9. In order to qualify for the program the company must demonstrate they meet all of the following eligibility criteria
(at time of full application). The company must…
Have an annual turnover and operating expenditure of less than $10 million in the last complete financial year
OR
Have been a registered company for less than 3 years
Be an Australian-based company who are non-tax exempt, and registered for GST
A10. Have you participated in another CSIRO/SME Connect program (Tick those that apply):
Innovate to Grow ON Program
Innovation Connections used the Collaboration Readiness Tool
Generation STEM Links
Other: Click or tap here to enter text.
A11. What is your company turnover/operating expenditure: Choose an option.
A12. Privacy Statement
CSIRO Australia’s National Science Agency 1
I agree to the collection and use of my personal information in this form as described in the Kick-Start Privacy
Statement and the CSIRO Privacy Policy.
A13. Provide a brief background of the company.
Project details
B1. Please outline the company’s technology/product/service that you are interested in further researching/developing/testing.
B2. Outline of proposed CSIRO-based project activities and deliverables.
B3. Do you have a rough budget for these activities?
B4. How did you find out about the CSIRO Kick-Start program?
For further information:
SME Connect
Dr Megan Sebben Dr Michael Breedon Dr Rhea Cornely Dr Angela Wu
(03) 9545 8543 (03) 9545 7826 (02) 9490 5530 0439 636 259
[email protected] [email protected] [email protected] [email protected]http://www.csiro.au/kick-start
CSIRO Australia’s National Science Agency 2
