Letter Of Interest Loi Template

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ATTACHMENT A: LETTER OF INTEREST (LOI) TEMPLATE
Instructions
All applicants submitting a Letter of Interest (LOI) must complete this form. Please limit your
responses to the questions in Section II to 3 pages. All applicants must sign and date this form
as requested in Section IV. Unsigned LOIs will be considered incomplete.
Section I: Project Information
Please input complete responses for each section of the table below.
1. Project title:
2. Name of applicant organization:
3. Signatory/organization
representative:
4. Contact information for the
Address:
applicant organization and the
Phone:
signatory
Email:
Fax:
5. Project duration:
____years ____months
6. Country of project location:
7. Category of funding (choose
Delivery and Expansion
one):
Innovation and Knowledge
8. Have you received funds
No
previously from the USAID Child
Yes
Blindness Program?
9. Type of organization (choose
Non-U.S. based
one)
U.S. based
10. Please provide a brief summary of your project in 300 words or less in this box:

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