Cover Sheet - Semester 2013B

Instructions: Fill in the required information. When finished, save the form on your computer as a pdf document to be merged with the discussion section of your proposal.

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Principal Investigator -

E-mail - Office phone -

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Program Title

Summary of Program (Maxmimum 100 words)

Status Faculty Senior Research Assoc Senior Research Fellow Post-Doctoral Scholar Senior Research Staff Graduate Student	Priority Principal Secondary	Linked to Keck No Yes	Linked to 200-in No Yes
Linked to 60-in No Yes	Linked to Oschin No Yes	Thesis Project No Yes	Date-Specific¹ No Yes

¹Provide full details in the discussion section

Collaborators (Names and e-mail addresses)

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Target of Opportunity Request

In the spaces below, enter the number of interrupts, the duration of each interrupt and the instrument(s) to be used.

Number	Duration	Instrument(s)
	hrs
	hrs
	hrs
	hrs
	hrs
	hrs

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Semester 2013B Palomar Cover Sheet ToO
Last updated: 09 January 2013 - RJB