City of Lubbock Project Request Form

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*First Name

*Last Name

*Email Address

*Date of Request

*Title of Project

*Lead PI

*Name of Agency/Funding Entity (i.e NSF, NIH, DOC, etc.)

*Submission Date

*Abstract Description (Please provide project abstract limited to150 words or less.)

*Action Item(s) (Please describe the action item(s) being requested from the City.)

*Action Item Due Date

If you have any questions please email Nathan.Styles@ttu.edu

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