Form 3 PEI University Application

OMB # 0925-0767
Exp., Date XX/XX/XXXX

Path to Excellence and Innovation Initiative
University Application
The Path to Excellence and Innovation Initiative is designed to assist Historically Black Colleges and
Universities in competing for, securing, and managing contracts with the National Institutes
of Health. This will be accomplished by strengthening HBCUs’ contracting infrastructure and
improving collaboration with business partners.

The Applicant
University Name:
University Address:
Application submitted by:
Title:
Email:
Telephone number:
No
Are you authorized to commit the university to a contract:
Alternate Point of Contact:
Title:
Email:
Telephone number:
Eligibility
Past Performance
Within the past five years, has this university performed as either
a prime or a subcontractor on a federal contract?
No

Organizational Capabilities

Provide one contract or subcontract
Agency:
Contract Number:
Please select one or more capabilities that are related to the
NIH mission from the list below.
https://www.nih.gov/about-nih/what-we-do/mission-goals
Biomedical Research and Development
Information Technology
Business and Professional Support Services
Public Health Outreach/Communications and Research
Laboratory Services/Products
Construction Services

NIH Centers

Identify 2 or 3 NIH Institutes and/or Centers with contracts
this university will pursue . Enter in the boxes below.
https://www.nih.gov/institutes-nih/list-nih-institutes-centers-offices

Institute or Center 1

Institute or Center 2

Institute or Center 3

Management Support

Federal contracting must be indicated as a strategic priority in an
official university document (i.e. letter from President or
President's designee) or strategic plan (preferred).

Willingness to subcontract

Subcontract means any contract, as defined in FAR subpart 2.1,
entered into by a subcontractor to furnish supplies or services for
performance of the prime contract or a subcontract. It includes,
but is not limited to, purchase orders, and changes and
modifications to purchase orders. FAR 52.244-2
Is this university willing to subcontract for
the first 3 to 5 opportunities pursued with
a designated PEI business partner?

No

Readiness Assessment
Capability Statement
Infrastructure

Does this university have a capability statement?
Which positions are currently in place on your contracts team?
Select all that apply.
Business Development
Contracts Manager
Proposal/Technical Writer
Cost Accounting Manager
Administrative Support

Commitment
Acceptance into the PEI program will require a commitment to participate in training and
various activities to obtain the knowledge and resources necessary to successfully compete for,
secure, and manage contracts from the National Institutes of Health.
By checking the box below you are acknowledging that this HBCU is prepared to make a
commitment to the following:
Devote a minimum of 10 hours per month to PEI activities
Willing to participate in all PEI webinars/trainings (hosted on a monthly basis & as needed)
Selection of a Business Partner within 1 month of acceptance
Create a joint capability statement with selected Business Partner
Work with Business Partner to create a PEI Business Development Strategy
Meet at least twice monthly with Business Partner
Participate in 3 NIH capability briefings annually
Pursue opportunities identified from the PEI database
Willing to respond to 4 Sources Sought or Solicitations
Willing to request debriefings for any Solicitations not won
Willing to complete monthly, quarterly, & annual PEI evaluations

Supporting Documents Checklist
Please submit these documents along with the university’s application to the PEI program.
Capability Statement
Official University Document Indicating Contracting as a Strategic Priority
Submission Deadline: Insert Date Here
Email completed application and supporting documents to: [email protected]
For questions about the program, contact: the NIH Small Business Programs Office: 301-451-3861

Burden Statement
Public reporting burden for this collection of information is estimated to average 45 minutes per contract or grant entered,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed,
and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this
burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA
(0925-0767*). Do not return the completed form to this address.