Intent to Submit Intent to Submit a Grant Proposal Your Contact InformationName* First Last Email* Who is your supervisor?*Dr. Ann Horgas, BNSDr. Jane Carrington, FCHSHave you discussed this proposal with your supervisor?*YesNoPlease have a discussion with your supervisor before submitting an Intent to Submit to ORS.Date* MM slash DD slash YYYY Submission Deadline* MM slash DD slash YYYY Type of Project* New Continuous Renewal Supplemental Subcontract Amendment Progress Report Resubmission Funding Agency* NIH HRSA Foundation AHRQ Other If Other please specify FOA/RFA number Role on Project* PI Co-Investigator with UF PI Co-Investigator with Non-UF PI Co-Principal Investigator with UF PI (applies to multiple PI projects only) Co-Principal Investigator with non-UF PI (applies to multiple PI projects only) Consortium Agreement?*YesNoTo be determinedAdditional Comments if neededCAPTCHA