Problem Intake Form - Smartsheet.com

Service*

If other please input here:

Organization*
Please include your base, department, division and/or directorate

Examples:
NAVSEA, NSWC Crane, Expeditionary Dept
SOCOM, 7th Special Forces Group, Duke Field, Eglin AFB
AFRL, 711th Human Performance Wing, Airman Biosciences Division

Name and Rank*
Rank, First Name and Last Name

If there will be a second contact please include their name and rank here as well.

E-mail*
If there will be a second contact please include their email address here as well.

Phone Number*
If there will be a second contact please include their phone number here as well.

Will you be the primary Action Officer (AO)?*
This is the person who will be working with the team over the course of the program and meeting with them regularly.

If not, who will be the primary AO?
Please give their first and last name.

Action Officer Email
If different from above.

Can the AO dedicate at least 1 hour per week to the project?*

Location*
City, State

Ex: Denver, CO or Washington, DC

Project Description*
Please explain the problem you are looking for help with and some initial context to help us better understand your request. This is a starting point and does not need to be perfect! We will work with you to further scope and define the problem.

A good problem statement includes the beneficiary, pain point, and desired outcome (e.g.: The Combat Service Support Team needs a readily available way to refuel while diminishing our reliance on petroleum-based products to improve energy efficiency and avoid creating petroleum-based heat and auditory signatures.)

Approximately: 100 - 150 words

Please describe the solution you have in mind*
If you have a solution in mind please describe it here, if not please mark N/A.

Additional Information
This is a space to include any links, or other information that would be helpful for us to understand your problem.

File Attachments
Please include any attachments that would help us better understand your problem here.

Our system is only able to handle information up to CUI.

Ideal End State*
This is to help us categorize the type of solution you are looking for so we can connect you with the most useful program.

If other, please describe here:

Requested Skill Sets*
Please select all that apply.

If other please include here:

What is your target end date for the solution?*

Is there a program that you are interested in?
If you have one or more program(s) in mind please feel free to select them below, however if you do not we will help you find the right program.

Bootcamp - A three-day solution generating event, where participants learn the principles of Human-Centered Design in order to solve their unit's own predetermined problem.
https://www.nsin.mil/bootcamp/

Capstone - Problems with a solution in mind are worked by students in the capstone/senior design class for their major, this can be one or two semesters.
https://www.nsin.mil/capstone/

Challenges - A scalable prize competition that brings together early-mid stage ventures, DoD customers, and subject matter experts, resulting in an award and justification for potential post-program activities.
https://www.nsin.mil/challenges/

Hacking for Defense (H4D) - One semester university course focused on root cause analysis of problems.
https://www.nsin.mil/hacking-for-defense/

X-Force - Interns work on your problem for 10 weeks over the summer, must have a solution in mind.
https://www.nsin.mil/x-force/

Have you ever worked with NSIN before?*

How did you hear about us?*

If referred, please name the organization:

If NSIN representative please select who:

If other, please name them here:

Sign me up for the NSIN Newsletter!

Send me a copy of my responses

Email address