Please complete this form and someone from the Investigator Initiated Protocol Development Unit will contact you as soon as possible. For more information, contact markey.IITPDU@uky.edu. Contact Information Email address of the person completing form / Contact person Phone number of the person completing form / Contact person Project Title Name of Principal Investigator PI Email Department Project Information Does this project already have IRB approval? - Select -YesNoUnanswered What is the purpose of the project and what types of protocol development support do you need? (Please provide all that apply) Concept development Protocol writing Assistance with development PK/PD data analysis (for abstracts, meetings, or manuscripts) Study design/sample size/power calculations Clinical trial protocol review Data collection/management Submission to PRMC Other If applying for a grant, please indicate grant deadline (if any): Is this project cancer related? - Select -YesNoNo answer Are you a cancer center member? - Select -YesNoNo answer If yes, which program are you in? Cancer Prevention and Control Drug Discovery, Delivery, and Translational Therapeutics Cancer Cell Biology and Signaling Genomic Instability, Epigenetics and Metabolism No answer Is your concept or protocol already developed? ? - Select -YesNoNo answer If yes, please click here to email separately. Include Project Title and name of PI.