2019 Letter of Intent

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 2019:

Total Project Duration (years/months): *

Estimated Total Project Cost (all years): *

2019 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.

2019 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. *

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: *

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Address

City

State/Province

Zip/Postal

Country