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Project Request Form

Please complete this form, and someone from the BBSRF will contact you as soon as possible. 

For more information, contact markey.biostat@uky.edu

Contact

 

  1. Email address of person completing form/Contact person:  
* Please re-check this e-mail address.
  2. Phone number of the person completing form/Contact person:  
  3. Project Title:  
  4. Principal Investigator:  
    PI Email:  
* Please re-check this e-mail address.
    Department:  

Project

  1. Does this project already have IRB approval?
       

 

 

 

  1. What is the purpose of the project and what types of statistical support do you need?
  2. (Please provide all that apply.)

 

 

 

 

 

 

 

 

  1. If applying for a grant, please indicate grant deadline date:
     [None] Select a Date Delete the Date 
  2.  
  3. Is this project cancer related?

 

       

 

  1. Are you a Cancer Center Member?
       

  

  1. If yes, which program are you in?
       

 

 

Please supply additional comments, project description, or other information: