Related Agreements Yes 1. Are there any other No agreements/funding/materials applicable to the receipt or If Yes, please provide the details including the Institution Number or – disclosure of the confidential Project Number: information (consider all that apply, i.e., Sponsored Research Agreement, Government or Other Grant, CDA, License, MTA, Subcontract, Other Agreement)? Confidential Disclosure 1. Provide the purpose of the information exchange: Yes 2. Are you disclosing non-public No information? If Yes: Describe the information you are disclosing including - who developed the information and whether you know of any restrictions related to its dissemination: Is the non-public information Yes No related to an invention under disclosure to or patented by the University Office of Technology If Yes, Management (OTM)? OTM Staff Member: OTM Case Number: Yes 3. Are you receiving non-public No information? If Yes: What information is the other party disclosing to you? Yes No Are there any other parties to the CDA/NDA who are not under your If Yes, list all individuals: direct supervision?
Related Agreements 1. Are there any other agreements/funding/materials applicable to the receipt or disclosure of the confidential information (consider all that apply, i.e., Sponsored Research Agreement, Government or Other Grant, CDA, License, MTA, Subcontract, Other Agreement)? Yes No If Yes, please provide the details – including the Institution Number or Project Number: Confidential Disclosure 1. Provide the purpose of the information exchange: 2. Are you disclosing non-public information? Yes No If Yes: Describe the information you are disclosing including - who developed the information and whether you know of any restrictions related to its dissemination: Is the non-public information related to an invention under disclosure to or patented by the University Office of Technology Management (OTM)? Yes No If Yes, OTM Staff Member: OTM Case Number: 3. Are you receiving non-public information? Yes No If Yes: What information is the other party disclosing to you? Are there any other parties to the CDA/NDA who are not under your direct supervision? Yes No If Yes, list all individuals: