SAMPLE

DEPARTMENT LETTERHEAD

STATEMENT OF INTENT TO ESTABLISH A CONSORTIUM AGREEMENT
 

Date:
 

Grant Number (if available):
 

Application Title:
 

Proposed Project Period:
 

The appropriate programmatic and administrative personnel of each institution involved in this grant application are aware of the (NIH, NSF, etc.) grant policy and are prepared to establish the necessary inter-institutional agreement(s) consistent with that policy.

ARIZONA BOARD OF REGENTS
UNIVERSITY OF ARIZONA   


                                                   
CONSORTIUM INSTITUTION

                                           ___ _   
Signature                            Date
Principal Investigator        
                                     __           
Signature                           Date
Principal Investigator


                                         ___   _    
Leslie P. Tolbert
Vice President for Research

                                         _         
Official authorized to sign
for the Institution