2018 Letter of Intent Form 2018 Letter of Intent (LOI) Form Project Overview Project Title: * Project Lead: Salutation * Dr. Ms. Mrs. Mr. First Name: * Last Name: * Email Address * Project Lead Organization / Company Information: Organization: * Department: * Phone Number: * Website/URL * Mailing Address: * Project Cost Summary for 2018: Total Project Duration (years/months): * Estimated Total Project Cost (all years): * 2018 Project Year Cost: * Please note that projects are approved on a a per year basis. Should the project receive funding the proponent will need to re-apply for the next year of funding. 2018 AUPRF Funding Request: * Has this project previously received AUPRF Funding? * Yes No Leveraged Funding: If more detail is required then please note that you can upload additional funding information at the bottom of this form. Funding Source - Please include if funding is Requested / Secured / In-kind. * Total Leveraged Funding * Executive Summary: Provide a brief non-technical description of the challenge(s) your project will address. Paragraph Text * Project Benefits: Describe how your project will create innovation for the hydrocarbon energy industry including any scientific and technological advancement, service, knowledge or improved process/methodology. Describe how your project will create innovation for the hydrocarbon energy industry including any scientific and technological advancement, service, knowledge or improved process methodology. * Technical Area your proposal addresses: * Air Quality and Climate Change Remediation Reclamation Ecological Well Abandonment File Upload Drop a file here or click to upload Choose File Maximum file size: 516MB If you wish to include any document to support your application you can upload here. Please note the limitation is one file per application.