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.
Air Force Reserve
Army Corps of Engineers
Chairman of the Joint Chiefs of Staff (JS)
Coast Guard Reserve
Department of Energy (DOE)
Department of Homeland Security (DHS)
Marine Corps Reserve
Office of the Secretary of Defense (OSD)
Unified Combatant Command
If other please input here:
Please include your base, department, division and/or directorate
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.
If there will be a second contact please include their email address here as well.
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?
Ex: Denver, CO or Washington, DC
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.
This is a space to include any links, or other information that would be helpful for us to understand your problem.
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
Field testable prototype within a year
Market Research / Customer Discovery
Policy statement / Recommendations
If other, please describe here:
Requested Skill Sets
Please select all that apply.
Augmented Reality/Virtual Reality
Communication and Networking Technologies
Management Information Systems (MIS)
Marketing/Social Media Strategy
Natural Language Processing
Program or Project Management
Rapid Prototyping/Additive Manufacturing
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
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.
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.
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.
Hacking for Defense (H4D) - One semester university course focused on root cause analysis of problems.
X-Force - Interns work on your problem for 10 weeks over the summer, must have a solution in mind.
Have you ever worked with NSIN before?
How did you hear about us?
Previously worked with NSIN
Referred by another organization
If referred, please name the organization:
If NSIN representative please select who:
Anthony "AJ" Scotti
Mary Kate Bell
If other, please name them here:
Sign me up for the NSIN Newsletter!
Send me a copy of my responses
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