Request for CCORDA Services

Requests for CCORDA services may be made by contacting the Center Director or Associate Director or by completing a request for consultation using the form below. Investigators that have previously worked with other CCORDA members may contact the center member directly. 

All requests for services will require completion of a CCORDA project request form below, which can be completed online using the form below or by any CCORDA member.

To allow sufficient time for high-quality work, early communication with CCORDA is recommended. See recommendations below.

Date:
Name of Principal Investigator:
Appointment type:	Faculty Staff Resident/Fellow Post-Doc Grad/Medical Student Other
If student/resident/fellow Name of Faculty Mentor:
Department/Division:
Institution:
E-Mail (Required):
Telephone:
Indicate important time deadlines (abstracts, etc.):
Type of request:	Grant submission (6-8 week's notice recommended) IDEA-CTR Project (2-4 week's notice recommended) Abstract (2 week's notice recommended) Presentations (2 week's notice recommended) SPORE Project (4 week's notice recommended) Manuscript Other
IRB approval:	Yes       No       Pending
If "yes", IRB approval number:
If human embryonic stem cell research, SROC approval:	Yes       No

Brief description of the project:

1) Project title:
2) Cancer related:	Yes      No
3) Type of support requested:	Research design/development Database development Data acquisition and management Clinical research ethics Data analysis/statistical support Research with underserved populations Community-Based Participatory Research

4) Brief goals and description of the project: