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INSTITUTIONAL COVER PAGE
DATE:
SUBMITTED TO: Pennsylvania Sea Grant, The Pennsylvania State University
PROPOSAL TITLE:
PROGRAM PERIOD:
AMOUNT REQUESTED: Year 1: Year 2:
MATCHING SUPPORT: Year 1: Year 2:
ORGANIZATIONAL OFFICIAL
Name:
Name:
CONTRACT NEGOTIATIONS
Address:
Phone:
ADMINISTRATIVE
Address:
Email:
CONTACT
Phone/Fax:
Email:
PRINCIPAL INVESTIGATOR:
Name:
Institution:
Address:
Address:
Phone/Fax:
Email:
CO-INVESTIGATORS:
Name:
Institution:
Email:
Name:
Institution:
Email:
AUTHORIZED OFFICIAL
Name:
SIGNATURAL APPROVAL:
Institution:
DUNS Number:
Address:
Address:
Phone/Fax:
Email:
SIGNATURE: ____________________________________________________
DATE: _____________
