Community Voices New Project Ideas Intake Form

Thank you for your interest in the Community Voices Program. We're excited about bringing together researchers and community-based organizations to collaborate on projects! Please tell us more about the project in which you're looking for a research partner. These questions should take approximately 10 minutes to complete. Your responses will be used to identify researchers that align with the goals and needs of your project or organization and determine their interest and availability for a collaboration. The Community Voices team matches communities and researchers to work together to design and conduct projects and studies, and disseminate findings and knowledge that contributes to the science and well-being of communities. If you have questions, please contact Dillon van Rensburg at drensb@uw.edu.

File Attachments

If you have a document that summarizes/describes your project - please upload it here:

Drag and drop files here or

Your First Name*

Your Last Name*

Organization Name*

Email Address*

Phone Number

Region

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Project Title

(if available)

Please describe your project or idea*

Are there funds to support your request?

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What is the project timeline?

For example, grant deadlines, key event dates, projected start date or month. If there is no timeline, please tell us.

Please describe how your project or idea will benefit your organization and/or community

Have you ever worked with a researcher before?

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What kind of collaborator do you need for this project?

Leader: researcher is the primary decision maker on the project Co-leader: researcher leads as an equal partner with the community leader Consultant: researcher helps with a specific part of the study, such as data analysis Advisor: researcher provides general input about the project

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If you envision another role for your collaborator, or you’re not sure what role he/she will have in your project, please describe what you think the collaborator will do.

Examples: -Help to determine what data we need and where we can get it -Provide information about diabetes and why it's so prevalent in our community -Give advice on the grant writing process

Publication of research results is important to researchers’ careers. Are you willing to publish the results of your project or ideas in a scientific journal?

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Send me a copy of my responses

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