FY21 ARI NOFO Attachment_Letter of Intent form.pdf

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Attached to
Countering Weapons of Mass Destruction: Academic Research Initiative (ARI)
Opportunity number
DHS-21-CWMD-077-001
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Letter of Intent

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ATTACHMENT - Letter of Intent

FY'21 CWMD Academic Research Initiative (ARI) Program DHS Opportunity # DHS-21-CWMD-077-ARI001

Thank you for your interest in DHS Programs.

DHS CWMD is requesting a letter of intent for the ARI Program by July 2, 2021. The letter of intent does not obligate the potential applicant, nor would it be used in any way to judge an application. CWMD will use the letters of intent solely for internal planning purposes. All interested applicants are requested to complete the form below and email a copy to: CWMD.TSI@HQ.DHS.GOV.

APPLICANT ORGANIZATION NAME: _______________________________________

ARI TOPIC AREA:

TA #1 MicroRNA as Biomarkers for Early Biothreat Detection

TA #2 Chemical, Biological or Radiological/Nuclear (CBRN) Area Detection and Analytics

TA #3 Technology component improvement for Neutron Based Active Interrogation

TELEPHONE NUMBER: ___________________________

EMAIL ADDRESS: ________________________________

NAME OF PRINCIPAL INVESTIGATOR: _________________________________

ADDRESS: ___________________________________________________________

TELEPHONE NUMBER: _________________________________

EMAIL ADDRESS: ________________________________

NAME OF BUSINESS OFFICIAL: ________________________________________

ADDRESS: ___________________________________________________________

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NAME OF PRINCIPAL INVESTIGATOR:
NAME OF BUSINESS OFFICIAL:
ADDRESS 1:
TELEPHONE NUMBER_2:
EMAIL ADDRESS_2:
EMAIL ADDRESS:
TELEPHONE NUMBER:
ORGANIZATION NAME (APPLICANT):
PI ADDRESS:
Topic Area #1: Off
TA #2: Off
TA #3: Off
CITY, STATE AND ZIP:
CITY, STATE AND ZIP 2:
ADDRESS 2:
PI ADDRESS 2:

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