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iHOP Letter of Intent

Letters of Intent are accepted July 1, 2010 - September 9, 2010. LOI’s are due by no later than 12:00 PM on Thursday, September 9, 2010. LOI’s received after 12:00 PM that day will not be considered for funding.

Please fill out the following form in its entirety. Letters of Intent are to be no longer than 1 page in length. Please utilize 12 point font and 1 inch margins when preparing the Letter of Intent. The one page length requirement only applies to the narrative sections of the Letter of Intent, which begins with the Objectives section and ends with Future Directions. Narrative sections longer than one page will NOT be considered for funding. Applications will not be processed unless complete.

Please contact us with any questions regarding the letter of intent.

For instructions on the Letter of Intent, click here.


Passport Health Plan's Improved Health Outcomes Program (iHOP)
LETTER OF INTENT

Name of Principal Investigator:
 Name and Address for
Correspondence Purposes:
Other Investigators:
Amount Requested:
 Phone:
Fax:
Email:
Title of Project:
Objective(s) of the study and related hypothesis:
Significance of the proposed study (Why should it be done? What are the benefits for patients, organizations,policy development?):
Relevance of the study related to the objectives of the RFP:
Expertise of the Investigator and team members related to this project:
Basic Study Design and Methodology:
Brief Budget Summary:
Feasibility and Potential Pitfalls:
Future Directions:

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