Problem Intake Form
This intake form is for projects and problem sets that can be accomplished in an unclassified environment.
Please note: Our system is only able to handle information up to CUI.
Service
*
Air Force
Air Force Reserve
Army
Army Corps of Engineers
Army Reserve
Chairman of the Joint Chiefs of Staff (JS)
Coast Guard
Coast Guard Reserve
Department of Energy (DOE)
Department of Homeland Security (DHS)
FFRDC
Marine Corps
Marine Corps Reserve
National Guard
Navy
Navy Reserve
Office of the Secretary of Defense (OSD)
Space Force
UARC
Unified Combatant Command
Other
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.
Yes
No
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?
*
Yes
No
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.
Completed root cause analysis of original project statement
Concept Refinement
Field testable prototype within a year
Hardware Prototype
Market Research / Customer Discovery
MVP
Other
Policy statement / Recommendations
Software Prototype
Unknown
White Paper
If other, please describe here:
Requested Skill Sets
*
Please select all that apply.
Advanced Sensing
Aerospace Engineering
AI/Machine Learning
Augmented Reality/Virtual Reality
Biological Sciences/Engineering
Business Strategy
CD/DT
Chemical Sciences/Engineering
Civil Engineering
Communication and Networking Technologies
Computer Science
Computer Modeling/Simulation
Cybersecurity
Data Science
Data Analysis/Visualization
Electrical Engineering
Energy Technologies
Environmental Sciences
Foreign Language
HFE/HSI
GIS
Graphic Design
Intelligence Analysis
Management Information Systems (MIS)
Market Research
Marketing/Social Media Strategy
Mathematics
Material Engineering
Mechanical Engineering
Natural Language Processing
Physics
Policy Research
Program or Project Management
Public Health
Rapid Prototyping/Additive Manufacturing
Social Sciences/Psychology
Software Development
Statistics
Tech Scouting
UI/UX Design
Web/App Development
Other
If other please include here:
What is your target end date for the solution?
*
Less than 6 months
6 months - 1 year
More than 1 year
Unknown
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/
Bootcamp
Capstone
Challenges
H4D
X-Force
Unsure
Have you ever worked with NSIN before?
*
Yes
No
How did you hear about us?
*
Newsletter
NSIN Representative
Previously worked with NSIN
Referred by another organization
Social Media
Website
Other
If referred, please name the organization:
If NSIN representative please select who:
Alison Beatty
Alyssa Roberston
Andy Tennant
Anthony "AJ" Scotti
Bev Seay
Blake Alexander
Brady Ryan
Charles Colglazier
David Schiff
David Skinner
Drew Hendricks
Errol Reid
Gene Skiba
Glenn Berger
Gloria Choo
Grant Fox
Ian Haynes
Jason Combs
Jesse Gipe
Jim Rabuck
John Whiteaker
Kedar Pavgi
Luis Martinez
Marcy Muldrow-Sanders
Marvin Yates
Mary Kate Bell
Mike Seper
Oliver Hilgartner
Paula Lemke
Pavan Gill
Rahul Singh
Regan Jones
Samantha Hiller
Spencer Reynolds
Tanya Parypa
Tracey Manor
Wade Watts
Zachary Seidman
Other
If other, please name them here:
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