Community Project Assistance Request

Hello,

Thank you for reaching out to the OHSU Community Research Hub. This short form should take you approximately 2 - 8 minutes to complete. We will respond within 3 business days.

First Name

Last Name

Organization

Project Title

Which county are you located in?

Select or enter value

If Other please explain where...

Contact Email

Contact Phone #

Project Stage

Select or enter value

Project Description

Briefly describe the project topic or research question, and the problem it aims to address.

If funded... who is the funder?

I would like to request assistance with...

Initial Project Consult with Community Liaison

Proposal Review

(requires a completed application 2 weeks prior to desired application submission date)

Project Development Support

(help with writing a proposal, project design, evaluation planning)

Finding Evidence-based Interventions

Data Collection, Data Analysis, and Reporting

Finding an Academic Collaborator

Human Subjects' Protection Consult

Project Set-up and Implementation

(e.g. recruit, consent, etc...)

Let's Get Healthy!

Health & Research Fair or Kiosk

Working with a Student

I'm interested in working with a student.

Other

Please describe...

Project priorities, timeline, funding constraints

Please describe priorities, timeline or funding constraints & notes

Date Submitted

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