Please submit no later than May 29th OF THE CURRENT YEAR to be considered for NEXT FFY funding

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NAME	TITLE	EMAIL

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INSTITUTION	SUBMITTION DATE	PHONE NUMBER

NOTE: Preparers of this form should be thorough and include detail. Include images, charts, graphs, figures, tables, etc. that describe the proposed project in as much detail as possible. This form is not restricted to a certain number of pages and will be distributed to the ODOT Research Steering Committee (RSC) for review. Incomplete or elementary proposal forms will not be considered. This form should be submitted through the preparer’s research administration personnel & the ODOT Materials & Research Division, Research & Implementation Office.

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PROJECT TITLE (NOTE: Use the title of the RFP as it appears on the website.)

INTRODUCTION:

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OBJECTIVES:

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BACKGROUND:

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WORK PLAN:

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TASKS TO BE PERFORMED:

(NOTE: Each proposed task should include a task number, a brief title and a description of the task)

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ANTICIPATED BENEFITS:

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IMPLEMENTATION:

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EXPECTED DELIVERABLES:

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TIME SCHEDULE:

(NOTE: Must be in “chart” form)

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LITERATURE CITED / REFERENCES:

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BUDGET & JUSTIFICATION:

(Facilities and Administrative Costs of 26% are allowed)

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PERSONNEL QUALIFICATIONS:

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LAB QUALIFICATIONS / QUALITY MANAGEMENT SYSTEM (QMS):

(NOTE: Attach QMS or QMS letter of Exemption Request here. Proposals will not be considered by the ODOT Research Steering Committee (RSC) without a QMS or a QMS letter of Exemption Request attached to this proposal.)

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Will this project conform to the strategic plan of the Southern Plains Transportation Center?	YES	☐	NO	☐	N/A	☐

Additional information pertinent to the proposed project described in this document may be attached to the end of this form.