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External
Internal
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Select Internal for NCDOT employees and External for University and others.
Submission Date*
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Invalid Date Format, please use MM/DD/YYYY
Contact Section
Submitter Name:*
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SponsorChampionUnit/Division/Unit:*
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Phone:*
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Email:*
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Research Section
Research Idea Title:*
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What is the problem or issue needing investigation? *
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Be specific and detailed.
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Background *
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Provide supporting information about the business unit, processes and tools.
Research Tasks *
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Describe specific activities that are anticipated (gathering data, structural testing, traffic analysis, etc.)
Products of the Research *
Required
Examples of products could include models, specifications, policies, general guidance...etc.
Benefit or Knowledge Gain for NCDOT *
Increase Operational Efficiency or Time Savings
Cost Savings
Improved Material (Structure, Pavement, Performance)
Improved Models (Performance, Traffic, Financial etc.)
New or Improved Specifications
Improved Worker or Public Safety
Permitting or Regulatory Compliance
Other (Specify)
Please select at least one checkbox
Please check all that apply.
Explain Anticipated Benefits *
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Provide details for the benefits checked above.
Possible IT Components *
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Describe any IT products or components.
Implementation *
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Discuss Implementation Ideas.
Sponsor/Champion Section
Sponsor/Champion Unit *
Required
Provide Sponsor/Champion Unit.
Sponsor/Champion Title *
Required
Provide Sponsor/Champion Position Title.
Sponsor/Champion Name *
Required
Provide Sponsor/Champion Name.
Sponsor/Champion Phone:*
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Provide Sponsor/Champion Phone.
Sponsor/Champion Email:*
Required
Provide Sponsor/Champion Email.
Additional Comments and Information
See guide
Recommend including info on involvement from other units.
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