+------------+---+-----------------+---+-------+---+---+----+---------+
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+------------+---+-----------------+---+-------+---+---+----+---------+
| 1          |   |                 | * |       |   | * |    |         |
| .  **LEGAL |   |                 | * |       |   | * |    |         |
|     NAME   |   |                 | 3 |       |   | 4 |    |         |
|     OF     |   |                 | . |       |   | . |    |         |
|     OR     |   |                 | N |       |   | a |    |         |
| GANIZATION |   |                 | A |       |   | . |    |         |
|     TO     |   |                 | M |       |   | P |    |         |
|     WHICH  |   |                 | E |       |   | H |    |         |
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+------------+---+-----------------+---+-------+---+---+----+---------+
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+------------+---+-----------------+---+-------+---+---+----+---------+
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+------------+---+-----------------+---+-------+---+---+----+---------+
| > **2.     |   |                 | * |       |   |   |    |         |
| > ADDRESS  |   |                 | * |       |   |   |    |         |
| > *(Give   |   |                 | 5 |       |   |   |    |         |
| > complete |   |                 | . |       |   |   |    |         |
| > mailing  |   |                 | A |       |   |   |    |         |
| > address  |   |                 | D |       |   |   |    |         |
| > and Zip  |   |                 | D |       |   |   |    |         |
| > Code     |   |                 | R |       |   |   |    |         |
| -including |   |                 | E |       |   |   |    |         |
| > C        |   |                 | S |       |   |   |    |         |
| ountry)*** |   |                 | S |       |   |   |    |         |
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+------------+---+-----------------+---+-------+---+---+----+---------+
| **6. TITLE |   |                 |   |       |   |   |    |         |
| OF         |   |                 |   |       |   |   |    |         |
| PROPOSED   |   |                 |   |       |   |   |    |         |
| PROJECT    |   |                 |   |       |   |   |    |         |
| (80        |   |                 |   |       |   |   |    |         |
| -character |   |                 |   |       |   |   |    |         |
| Maximum,   |   |                 |   |       |   |   |    |         |
| including  |   |                 |   |       |   |   |    |         |
| spaces)**  |   |                 |   |       |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
| **7.       |   | #               |   |       | * |   |    |         |
| A          |   | ######## 8. DUR |   |       | * |   |    |         |
| PPROXIMATE |   | ATION REQUESTED |   |       | 9 |   |    |         |
| PERIOD OF  |   |                 |   |       | . |   |    |         |
| PROPOSED   |   | ## 24 MONTHS    |   |       | T |   |    |         |
| PROJECT    |   |                 |   |       | O |   |    |         |
| DATES**    |   |                 |   |       | T |   |    |         |
|            |   |                 |   |       | A |   |    |         |
| **MAY 2009 |   |                 |   |       | L |   |    |         |
| -- APRIL   |   |                 |   |       | F |   |    |         |
| 2011**     |   |                 |   |       | U |   |    |         |
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|            |   |                 |   |       | 1 |   |    |         |
|            |   |                 |   |       | \ |   |    |         |
|            |   |                 |   |       | $ |   |    |         |
|            |   |                 |   |       | Y |   |    |         |
|            |   |                 |   |       | e |   |    |         |
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|            |   |                 |   |       | r |   |    |         |
|            |   |                 |   |       | 2 |   |    |         |
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|            |   |                 |   |       | : |   |    |         |
|            |   |                 |   |       | * |   |    |         |
|            |   |                 |   |       | * |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
| **10.      |   |                 |   | **11. |   |   |    |         |
| PRINCIPAL  |   |                 |   | a.    |   |   |    |         |
| IN         |   |                 |   | PI'S  |   |   |    |         |
| VESTIGATOR |   |                 |   | PHONE |   |   |    |         |
| (PI) AND   |   |                 |   | NUMB  |   |   |    |         |
| CO-INVESTI |   |                 |   | ER:** |   |   |    |         |
| GATOR(S)** |   |                 |   |       |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
| > **a.     |   |                 |   | >     |   |   |    |         |
| > Name of  |   |                 |   |  **b. |   |   |    |         |
| >          |   |                 |   | > FAX |   |   |    |         |
|  Principal |   |                 |   | >     |   |   |    |         |
| > In       |   |                 |   |  NUMB |   |   |    |         |
| vestigator |   |                 |   | ER:** |   |   |    |         |
| > (First,  |   |                 |   |       |   |   |    |         |
| > Middle,  |   |                 |   |       |   |   |    |         |
| > Last)**  |   |                 |   |       |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
|            |   |                 |   | **c.  |   |   |    |         |
|            |   |                 |   | E     |   |   |    |         |
|            |   |                 |   | -MAIL |   |   |    |         |
|            |   |                 |   | ADDRE |   |   |    |         |
|            |   |                 |   | SS:** |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
| > **b.     |   |                 |   | **12. |   |   |    |         |
| > Name of  |   |                 |   | PI's  |   |   |    |         |
| > Co-In    |   |                 |   | BUS   |   |   |    |         |
| vestigator |   |                 |   | INESS |   |   |    |         |
| > #1       |   |                 |   | AD    |   |   |    |         |
| > (First,  |   |                 |   | DRESS |   |   |    |         |
| > Middle,  |   |                 |   | (In   |   |   |    |         |
| > Last)**  |   |                 |   | clude |   |   |    |         |
|            |   |                 |   | Depa  |   |   |    |         |
|            |   |                 |   | rtmen |   |   |    |         |
|            |   |                 |   | t/Zip |   |   |    |         |
|            |   |                 |   | Co    |   |   |    |         |
|            |   |                 |   | de)** |   |   |    |         |
|            |   |                 |   |       |   |   |    |         |
|            |   |                 |   | *     |   |   |    |         |
|            |   |                 |   | *ALTE |   |   |    |         |
|            |   |                 |   | RNATE |   |   |    |         |
|            |   |                 |   | SHI   |   |   |    |         |
|            |   |                 |   | PPING |   |   |    |         |
|            |   |                 |   | AD    |   |   |    |         |
|            |   |                 |   | DRESS |   |   |    |         |
|            |   |                 |   | (i.e. |   |   |    |         |
|            |   |                 |   | FED   |   |   |    |         |
|            |   |                 |   | EX)** |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
|            |   |                 |   |       |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
| > **c.     |   |                 |   |       |   |   |    |         |
| > Name of  |   |                 |   |       |   |   |    |         |
| > Co-In    |   |                 |   |       |   |   |    |         |
| vestigator |   |                 |   |       |   |   |    |         |
| > #2       |   |                 |   |       |   |   |    |         |
| > (First,  |   |                 |   |       |   |   |    |         |
| > Middle,  |   |                 |   |       |   |   |    |         |
| > Last)**  |   |                 |   |       |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
|            |   |                 |   |       |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
| > **d.     |   |                 |   |       |   |   |    |         |
| > Name of  |   |                 |   |       |   |   |    |         |
| > Co-In    |   |                 |   |       |   |   |    |         |
| vestigator |   |                 |   |       |   |   |    |         |
| > #3       |   |                 |   |       |   |   |    |         |
| > (First,  |   |                 |   |       |   |   |    |         |
| > Middle,  |   |                 |   |       |   |   |    |         |
| > Last)**  |   |                 |   |       |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
|            |   |                 |   |       |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
| > **e.     |   |                 |   |       |   |   |    |         |
| > Name of  |   |                 |   |       |   |   |    |         |
| > Co-In    |   |                 |   |       |   |   |    |         |
| vestigator |   |                 |   |       |   |   |    |         |
| > #4       |   |                 |   |       |   |   |    |         |
| > (First,  |   |                 |   |       |   |   |    |         |
| > Middle,  |   |                 |   |       |   |   |    |         |
| > Last)**  |   |                 |   |       |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
|            |   |                 |   |       |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
| 13\. LIST  |   |                 |   | **15. |   |   |    |         |
| THE TITLES |   |                 |   | WILL  |   |   |    |         |
| OF ALL     |   |                 |   | THIS  |   |   |    |         |
| CURRENTLY  |   |                 |   | PR    |   |   |    |         |
| FUNDED     |   |                 |   | OJECT |   |   |    |         |
| PROJECTS   |   |                 |   | BE    |   |   |    |         |
| (PI ONLY)  |   |                 |   | SENT  |   |   |    |         |
| IN         |   |                 |   | OR    |   |   |    |         |
| A          |   |                 |   | HAS   |   |   |    |         |
| SSOCIATION |   |                 |   | IT    |   |   |    |         |
| WITH THE   |   |                 |   | BEEN  |   |   |    |         |
| USWBSI     |   |                 |   | SENT  |   |   |    |         |
| *(approx.  |   |                 |   | TO    |   |   |    |         |
| May 2007 - |   |                 |   | OTHER |   |   |    |         |
| April      |   |                 |   | FU    |   |   |    |         |
| 2008)*     |   |                 |   | NDING |   |   |    |         |
|            |   |                 |   | AGEN  |   |   |    |         |
| 1)         |   |                 |   | CIES, |   |   |    |         |
|   \_\_\_\_ |   |                 |   | INCL  |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | UDING |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | OTHER |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | USDA  |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | A     |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | GENCI |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | ES?** |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | > \[  |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | > \]  |   |   |    |         |
|            |   |                 |   | > No  |   |   |    |         |
| \_\_\_\_   |   |                 |   | > \[  |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | > \]  |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | > Yes |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | >     |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |  *(If |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | >     |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |  yes, |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | >     |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |  list |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | > A   |   |   |    |         |
|            |   |                 |   | gency |   |   |    |         |
| 2)         |   |                 |   | >     |   |   |    |         |
|   \_\_\_\_ |   |                 |   | acron |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | ym(s) |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | > &   |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | >     |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | progr |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | am(s) |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | > and |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | >     |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |  fill |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | > in  |   |   |    |         |
|            |   |                 |   | > att |   |   |    |         |
| > \_\_\_\_ |   |                 |   | ached |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | > "Cu |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | rrent |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | > and |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | > Pen |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | ding" |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | > Fo  |   |   |    |         |
| \_\_\_\_\_ |   |                 |   | rm.)* |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
|            |   |                 |   |       |   |   |    |         |
| 3)         |   |                 |   |       |   |   |    |         |
|   \_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
|            |   |                 |   |       |   |   |    |         |
| **         |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_\_ |   |                 |   |       |   |   |    |         |
| \_\_\_\_** |   |                 |   |       |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
|            |   |                 |   | **16. |   |   |    |         |
|            |   |                 |   | DESI  |   |   |    |         |
|            |   |                 |   | GNATE |   |   |    |         |
|            |   |                 |   | WITH  |   |   |    |         |
|            |   |                 |   | AN    |   |   |    |         |
|            |   |                 |   | \'X\' |   |   |    |         |
|            |   |                 |   | [O    |   |   |    |         |
|            |   |                 |   | NE]{. |   |   |    |         |
|            |   |                 |   | under |   |   |    |         |
|            |   |                 |   | line} |   |   |    |         |
|            |   |                 |   | RES   |   |   |    |         |
|            |   |                 |   | EARCH |   |   |    |         |
|            |   |                 |   | AREA  |   |   |    |         |
|            |   |                 |   | (RA)  |   |   |    |         |
|            |   |                 |   | WHOSE |   |   |    |         |
|            |   |                 |   | D     |   |   |    |         |
|            |   |                 |   | ESCRI |   |   |    |         |
|            |   |                 |   | PTION |   |   |    |         |
|            |   |                 |   | AND   |   |   |    |         |
|            |   |                 |   | PRIOR |   |   |    |         |
|            |   |                 |   | ITIES |   |   |    |         |
|            |   |                 |   | YOUR  |   |   |    |         |
|            |   |                 |   | PR    |   |   |    |         |
|            |   |                 |   | OJECT |   |   |    |         |
|            |   |                 |   | IS    |   |   |    |         |
|            |   |                 |   | DES   |   |   |    |         |
|            |   |                 |   | IGNED |   |   |    |         |
|            |   |                 |   | TO    |   |   |    |         |
|            |   |                 |   | A     |   |   |    |         |
|            |   |                 |   | DDRES |   |   |    |         |
|            |   |                 |   | S. ** |   |   |    |         |
|            |   |                 |   |       |   |   |    |         |
|            |   |                 |   | FHB   |   |   |    |         |
|            |   |                 |   | Manag |   |   |    |         |
|            |   |                 |   | ement |   |   |    |         |
|            |   |                 |   | \_\   |   |   |    |         |
|            |   |                 |   | _\_\_ |   |   |    |         |
|            |   |                 |   |       |   |   |    |         |
|            |   |                 |   | Food  |   |   |    |         |
|            |   |                 |   | Sa    |   |   |    |         |
|            |   |                 |   | fety, |   |   |    |         |
|            |   |                 |   | T     |   |   |    |         |
|            |   |                 |   | oxico |   |   |    |         |
|            |   |                 |   | logy, |   |   |    |         |
|            |   |                 |   | and   |   |   |    |         |
|            |   |                 |   | U     |   |   |    |         |
|            |   |                 |   | tiliz |   |   |    |         |
|            |   |                 |   | ation |   |   |    |         |
|            |   |                 |   | of    |   |   |    |         |
|            |   |                 |   | Mycot |   |   |    |         |
|            |   |                 |   | oxin- |   |   |    |         |
|            |   |                 |   | \_\   |   |   |    |         |
|            |   |                 |   | _\_\_ |   |   |    |         |
|            |   |                 |   |       |   |   |    |         |
|            |   |                 |   | Co    |   |   |    |         |
|            |   |                 |   | ntami |   |   |    |         |
|            |   |                 |   | nated |   |   |    |         |
|            |   |                 |   | Grain |   |   |    |         |
|            |   |                 |   | (     |   |   |    |         |
|            |   |                 |   | FSTU) |   |   |    |         |
|            |   |                 |   |       |   |   |    |         |
|            |   |                 |   | Gene  |   |   |    |         |
|            |   |                 |   | Disc  |   |   |    |         |
|            |   |                 |   | overy |   |   |    |         |
|            |   |                 |   | and   |   |   |    |         |
|            |   |                 |   | E     |   |   |    |         |
|            |   |                 |   | ngine |   |   |    |         |
|            |   |                 |   | ering |   |   |    |         |
|            |   |                 |   | Resis |   |   |    |         |
|            |   |                 |   | tance |   |   |    |         |
|            |   |                 |   | (     |   |   |    |         |
|            |   |                 |   | GDER) |   |   |    |         |
|            |   |                 |   | \_\   |   |   |    |         |
|            |   |                 |   | _\_\_ |   |   |    |         |
|            |   |                 |   |       |   |   |    |         |
|            |   |                 |   | Pat   |   |   |    |         |
|            |   |                 |   | hogen |   |   |    |         |
|            |   |                 |   | Bi    |   |   |    |         |
|            |   |                 |   | ology |   |   |    |         |
|            |   |                 |   | and   |   |   |    |         |
|            |   |                 |   | Gen   |   |   |    |         |
|            |   |                 |   | etics |   |   |    |         |
|            |   |                 |   | (PBG) |   |   |    |         |
|            |   |                 |   | \_\   |   |   |    |         |
|            |   |                 |   | _\_\_ |   |   |    |         |
|            |   |                 |   |       |   |   |    |         |
|            |   |                 |   | None  |   |   |    |         |
|            |   |                 |   | of    |   |   |    |         |
|            |   |                 |   | the   |   |   |    |         |
|            |   |                 |   | Above |   |   |    |         |
|            |   |                 |   | \_\   |   |   |    |         |
|            |   |                 |   | _\_\_ |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
| FOR OFFICE |   |                 |   |       |   |   | #  |         |
| USE ONLY   |   |                 |   |       |   |   | ## |         |
| \[ \]N \[  |   |                 |   |       |   |   |  F |         |
| \]C        |   |                 |   |       |   |   | Y0 |         |
| (\_\       |   |                 |   |       |   |   | 9- |         |
| _\_\_\_\_) |   |                 |   |       |   |   |    |         |
| MGMT FSTU  |   |                 |   |       |   |   |    |         |
| GDER PBG   |   |                 |   |       |   |   |    |         |
| VDHR --SPR |   |                 |   |       |   |   |    |         |
| VDHR-NWW   |   |                 |   |       |   |   |    |         |
|            |   |                 |   |       |   |   |    |         |
| VDHR-SWW   |   |                 |   |       |   |   |    |         |
| BAR-CP     |   |                 |   |       |   |   |    |         |
| DUR-CP     |   |                 |   |       |   |   |    |         |
| HWW-CP     |   |                 |   |       |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
| *          |   |                 |   |       |   |   |    | *       |
| *SIGNATURE |   |                 |   |       |   |   |    | *DATE** |
| OF         |   |                 |   |       |   |   |    |         |
| PRINCIPAL  |   |                 |   |       |   |   |    |         |
| INVE       |   |                 |   |       |   |   |    |         |
| STIGATOR** |   |                 |   |       |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+
| *          |   |                 |   |       | * |   |    | *       |
| *SIGNATURE |   |                 |   |       | * |   |    | *DATE** |
| OF         |   |                 |   |       | T |   |    |         |
| AUTHORIZED |   |                 |   |       | I |   |    |         |
| ORGA       |   |                 |   |       | T |   |    |         |
| NIZATIONAL |   |                 |   |       | L |   |    |         |
| REPRES     |   |                 |   |       | E |   |    |         |
| ENTATIVE** |   |                 |   |       | * |   |    |         |
| *(**Not    |   |                 |   |       | * |   |    |         |
| required   |   |                 |   |       |   |   |    |         |
| by         |   |                 |   |       |   |   |    |         |
| USWBSI)*** |   |                 |   |       |   |   |    |         |
+------------+---+-----------------+---+-------+---+---+----+---------+

This form is a modified version of the CSREES-661 Form.