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Xilinx University Program Standard Donation Proposal Form by epmd

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									Xilinx University Program Standard Donation Proposal Form
Page 1 The Xilinx University Program's goal is to promote the study of Xilinx Programmable Logic by students in undergraduate and graduate engineering courses. If a new or expanded course with lab is being added and funding is not adequate to purchase the required products at the University Program discount, Xilinx will evaluate proposals for donations according to the following pre-requisites. Xilinx University Program will respond within one month.

Terms of Donation:
(1) The donation request must be submitted by a managing instructor or department head. (2) The instructor or department head agrees to participate when notified of any upcoming XUP annual online survey (This is posted on the web and announced between January and March of a given year.) (3) Upon receipt of a template letter from Xilinx, the instructor or his/her department will send Xilinx a letter confirming receipt of the donated product as appropriate. (4) Recipients of donated Xilinx software agree to register the software with a Xilinx representative within 45 days of receipt. (Instructions are included in the donation correspondence.) (5) Outside of the United States, the donee may be responsible for paying import duties if they exist. (6) All donated Xilinx products are expected to be used and incorporated into the educational course(s) and lab(s) for which they are donated. (7) If requested by Xilinx, the instructor or department head agrees to supply Xilinx with Xilinx-related lecture and lab materials, significant articles and ap-notes, and major project reports by the end of the first term in which the related course (or project) is offered. For graduate research, this additional requirement applies: (8) The research is not commercially funded and is not for commercial product development. Please note: For pre-requisite (7), Xilinx would prefer to receive this in an electronic format such as Word for Windows®. Alternately, paper format would be sufficient. Please refrain from sending any material which has proprietary or confidential content or which embodies any intellectual property rights. Xilinx may ask for your additional permission to reprint this information or share this information publicly for educational purposes.

Written Proposal Submission:
Please fill out the attached form (page 2) and attach a written proposal including the following information to explain what you are planning to do with the requested Xilinx products. Just send the pertinent information (1-5 pages is fine.) I. A brief summary of the course(s) II. A description of the lab(s) using Xilinx devices III. Budget and constraints you have for this course IV. Anything else of relevance
If the attached proposal is accepted by Xilinx, I understand and agree to the Terms of Donation stated on page 1.

(page 2) Name: ……………………………………………………………… Date: ……………………………...… Professional Title (Professor, ..?): …………………………………………………………………………… Email:………………………………………………………………………………………………………… Phone #: ………………………………………………… Fax#: …………………………………….……. University or Institution:….………………………………………………………………………………….. Department: ………………………………………………………………………………………………….. Shipping address: …………………………………………………………………………………………….. City: …………………………………………..……..… State or Province:……………………………..…. Postal Code:……………………. Country: ………………………………………………………………….. If outside the USA, what distributor or Xilinx representative do you use: …………………………………... (Outside the USA the donee is responsible for paying any import duties if they exist.) [For European universities only] what is your V.A.T. Number? ……………………………….…………….

For EACH course or research project for which this donation proposal applies, please provide this information: a) Course or Research (C/R)? b) Course Number: c) Course / Research Name: d) Date Xilinx products first used in Course or Research: e) TOTAL Number of students completing Course or Research over one full year: f) Academic level of Course (e.g., 1st, 2nd, 3rd, 4th year, or Graduate Course): What web site(s), if any, show your course and/or research? ………………………………………………... Computer platform(s), Operating Systems used and quantity of each:
(Example: Sun Sparc 20 with SunOS - 10 units, Pentium Processor PC with Win '95 - 10 units)

Do you already have a Xilinx software package that is from Xilinx or a Xilinx distributor (Yes/No)? If Yes, what is that software serial number or your Xilinx End User ID? Front end / Design Entry tools to be used: ……………………………………………………………………

Xilinx Products Requested
Part Number 1. Description Quantity

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2.

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