Request edit access
Request for Endorsement Form
Please complete the following information and submit to the LCMI program manager at
. In order to be considered for the LCMI endorsement letter, the form and a 1-page proposal summary must be completed three weeks prior to the application submission deadline.
Organization you represent
Address (for endorsement letter)
Parties to Application
Are you a partner of the Louisiana Chemical Manufacturing Initiative?
Yes, I am a partner.
No, I am not a partner.
No, I am not a partner, but I am partnered with a LCMI partner on this application.
No, I am not a partner, but we are interested in partnering with a LCMI partner on this application.
Are you aware of other LCMI partners competing for this federal funding opportunity? Any other known competitors?
If yes, please provide details.
Approximate amount of federal funds being requested?
Appalachian Regional Commission
Delta Regional Authority
Department of Agriculture
Department of Commerce
Department of Defense
Department of Housing and Urban Development
Department of Labor
Department of Transportation
Environmental Protection Agency
National Science Foundation
Small Business Administration
Department of Energy
Department of Education
Which key focus areas does your project seek to address?
Operational Improvement and Research Innovation
Number of jobs to be created?
How will you measure the success of this project? What are your key performance metrics?
If federal funding is not received, is there an alternative strategy for delivering this project?
Please attach a 1-page summary of your proposal. Include an overall summary that demonstrates how your application advances chemical manufacturing in South Louisiana and/or how does your project support or implement the strategies outlined in the LCMI proposal application.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service