Problem Intake Form
This intake form is for projects and problem sets that can be accomplished in an unclassified environment.
Organization: (agency, division, branch)
*
Name
*
Rank
*
Job Title
*
E-mail
*
Phone Number
*
City and State you are based in:
*
(Full City Name, State Abbreviation)
Will you be the primary POC?
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Project POC: assigned primary point of contact of this problem who will interface with NSIN.
Yes
No
If not, please provide a Project POC:
(Name, Rank, Email, and Phone)
Supervisor Name, Rank, and Title:
*
Someone in your chain of command who supports (or champions) your project with NSIN. This can also include an alternate Project Sponsor.
Supervisor Email:
*
Which best describes your project?
*
Early Stage: Open ended, focused on scoping and development
Later Stage: Solution oriented, focused on creating a prototype or Minimum Viable Product (MVP)
Please describe the Project:
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1. Describe the project background.
2. What is the problem the project seeks to address?
3. Who is impacted and would benefit from a solution? (ex: units, services, contractors, others)
4. What would a solution help you achieve? (Save resources, time, improve lethality, etc.)
Do you have a solution in mind?
*
Yes
No
Not Sure
Solution End State:
*
(If you receive a solution, what is the desired end state? Please be as detailed as possible: deliverables, knowledge attained, etc.)
Completed root cause analysis of original project statement
Software Prototype
Hardware Prototype
Policy statement/recommendations
Field testable prototype within a year
Other
If applicable, describe the solution in mind.
What is the minimum improvement or value a solution would need to provide for you to consider it a success? Please be as detailed as possible: deliverables, knowledge attained, etc.
U.S. citizens or permanent residents only?
*
Is this a needed status to work on the project?
Yes
No
Skill sets Required?
*
Please choose 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 detail here:
Can this be conducted virtually?
*
Yes
No
What resources can you provide?
*
Data sets, software licenses, government furnished equipment, funds, access to SMEs, documents, or none.
Can the project POC dedicate 1hr of time per week?
*
This time requirement is a minimum that includes check-in meetings, questions, etc. plus any prep time.
Project POC: assigned primary point of contact of this problem who will interface with NSIN.
Yes
No
Solution Implementation:
*
NSIN has programs and pathways to help implement solutions. Does your organization also have resources, pathways, or authorities that we should be aware of?(e.g. Funding, ability to implement policy or a concept, etc.)
How did you hear about us?
*
Email
NSIN Representative
Phone
NSIN Website
Social Media
NSIN Newsletter
NSIN Alumni
Previously worked with NSIN
Referral
Do you have any supporting documentation? If so, please upload below.
Our system is able to handle information up to CUI.
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