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Cores
Translational Research Support
Translational Research Support Core (TRSC) Services Form
Translational Research Support Core (TRSC) Services Form
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Your Email Address
*
CIEHS Member Making Request:
*
Date of Request:
*
Project Title:
*
Deadline for submission:
*
Does this Project involve collaboration with other CIEHS members?
*
Yes
No
Does this Project involve collaboration with Community members?
*
Yes
No
Source of funds for research:
*
Pilot Project Program
OEFC Research Voucher
TRSC Voucher
Individual Grant
None
CIEHS Research Interest Group (RIG):
*
Mechanistic and Translational Toxicology (MTT)
Precision Environmental Health (PEH/E)
Environmental Epidemiology and Population Health (EEPH)
Need Assistance with:
*
Translational Research
Geospatial
Epidemiology
Human Subjects Research (CTU/KCPCRU)
Biorepository
Animal Models
Regulatory inclusive of IRB
Letter of support for grant submission
Brief Statement of Project (or attach electronic file below):
*
Attach brief statement of project if not typed above
Upload
One file only.
256 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
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