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Please select the CFAR Core from which you are requesting services
(Required)
Biostatistics
Clinical
Clinical Pharmacology / Analytical Chemistry
Developmental
Social & Behavioral Science
HIV/STD Laboratory
International
Administrative
Principal Investigator (PI)
(Required)
who is the PI for the study for which you are requesting services
PI's Email
(Required)
Is your project currently funded?
(Required)
Yes
No
N/A
Who is the funding sponsor?
(Required)
Which Grant is this request associated with?
Please provide a general name to describe the project you are working on
Project Award Number
If applicable, ex. R01 MH092215
UNC Billing Information/Account Number
If applicable
Response Timeline
(Required)
Urgent
Two Weeks
Thirty Days
Specific Date
Specific Date Needed
(Required)
Preferred Contact Method
Call
Email
Meeting
Contact Phone
(Required)
Contact Email
(Required)
Who is the Requesting Mentor?
Scientific
Career
Mentor Name
Mentor Email
If you anticipate utilizing one or more of the CFAR Cores in the course of this project, which Core(s) do you plan to use?
Biostatistics
Clinical
Clinical Pharmacology / Analytical Chemistry
Developmental
Social & Behavioral Science
HIV/STD Laboratory
International
Administrative
Is your project associated with one or more CFAR Working Groups? If so, which Group(s) are involved?
Do you require regulatory services for this project?
Assistance with IRB or other regulatory submissions
Yes
No
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