Required *
Select Form Type:*
External
Internal
Required
Select Internal for NCDOT employees and External for University and others.
Submission Date*
Required
Invalid Date Format, please use MM/DD/YYYY
Idea Submitter Information
Submitter Name:*
Required
Affiliation/Division/Unit:*
Required
Phone:*
Required
Email:*
Please enter valid email address.
Research Idea Details
Research Idea Title:*
Required
What is the problem or issue needing investigation? *
Required
Be specific and detailed.
(Click Here for Form Instructions)
Background *
Required
Provide supporting information about the business unit, processes and tools.
Research Tasks *
Required
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 *
Required
Provide details for the benefits checked above.
Possible IT Components *
Required
Describe any IT products or components.
Implementation *
Required
Discuss Implementation Ideas.
NCDOT Sponsor/Champion Information
Sponsor/Champion Name *
Required
Provide Sponsor/Champion Name.
Sponsor/Champion Title *
Required
Provide Sponsor/Champion Position Title.
Sponsor/Champion Unit *
Required
Provide Sponsor/Champion Unit.
Sponsor/Champion Phone:*
Required
Provide Sponsor/Champion Phone.
Sponsor/Champion Email:*
Please enter valid email address.
Provide Sponsor/Champion Email.
Additional Comments and Information
Please included any information regarding support or involvement needed by other business units.
Validating Fields
Submitting Form