CFAR Core Service Request

CFAR Core (select one)

I agree to acknowledge the CFAR grant on all publications, abstracts, grant proposals and presentations resulting from work supported by these services. Please refer to Cite the CFAR for details.

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Your Contact Information (Person submitting the request)

Last Name
First Name
Email
Rank

Principal Investigator Information

Last Name
First Name
Email

Investigator Type

PI on an R01 or equivalent (R01, R23, R29, R37, and after 2008 - DP2) in HIV/AIDS Research

PI on an R01 or equivalent but never in HIV/AIDS Research

PI who has received NIH funding, but not yet at the R01 or equivalent level

PI who has not yet received direct funding from the NIH as a PI or Co-PI

Investigator Rank

Senior Investigator = Associate Professor and above. Junior Investigator = Assistant Professor and below.

Gender

NIAID further requires that we collect demographic data on the investigators we serve. This also allows us to better respond to future opportunities. Please select one option below:
Male
Female
Transgender Male
Transgender Female
Decline to State
Racial Category

Administrator Information (Person we can contact regarding payment for services)

Last Name
First Name
Email
Phone

Funding Information

  • To see a list of potential Grant Titles and Grant Numbers, start typing into the fields below or hit the down arrow on your keyboard to see the entire list. You can also directly type a grant title and grant number into the fields below.

  • Grant Title
    Grant Number
    NIH Institution
    Institution Administering this Study
    Program


    Co-Investigator Information
    Study or Grant Title
    Please enter the name of your study. If the name is the same as the grant title, please enter into this field.
    Study Description
    Please provide a brief description of your study. Include information you weren't able to include above about your grant and potential funding (i.e., anticipated sources of funding, funding status, and whether or not the study is supported by a CFAR grant)
    Services Requested
    • Please hit the down arrow on your keyboard for the services list to display
    • To select more than one service, hit the down arrow again

    Description of Services Requested
    Special Requests
    Number of Samples
    Are the samples or data derived from human subjects?
    By selecting "Yes", you are confirming that you have the appropriate approvals in place (i.e., IRB approval).
    Yes
    No
    File to upload (only PDF files are accepted)
    Are the samples or data derived from animal subjects?
    By selecting "Yes", you are confirming that you have the appropriate approvals in place (i.e., IACUC approval).
    Yes
    No


    Core Director Time Spent

    Admin Time Spent

    Service Request Status