UCI SOM Research Collaboration Request Form

UCI SOM Research Collaboration Request Form

The purpose of this form is to facilitate connections between UC Irvine researchers. Once you submit the form, a member of the SOM Research Development Unit will be in touch with you shortly.

Please contact the SOM Research Development Unit at somrd@hs.uci.edu with any questions.

Name (Last, First)*

Preferred Name

Email Address*

SOM Department*

Select

If Other, what is your department?

Title*

Select

If other, what is your title?

UCI Faculty Profiles

If applicable, have you set up your faculty profiles?

If not, we highly encourage you to do so. This is a great way to showcase your research interests as and search for other researchers either via name or research interest. Visit this webpage to read about the differences between the systems and how to set up a profile.

Describe your current research focus areas*

Indicate your research strengths (e.g., expertise, access to patients and/or tissues).

Describe what you are looking for in potential research collaborators.*

If you are interested in collaborating with researchers outside of the School of Medicine, you can indicate that here.

List your current collaborators and their roles.

Use this space to include anything else that you would like the RDU to know.

SOM RDU Consult

If you would like a 1:1 consultation with the SOM Research Development Unit, you can make an appointment via Calendly.

File Upload

If available, please upload your NIH biosketch. If you have research project abstracts or specific aims that you think would be relevant to share, upload them here as well.

Drag and drop files here or

Send me a copy of my responses

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