CADIS Request Form

CADIS Request Form

Thank you for accessing the CADIS Request Form!

CADIS requests and consultations are available to:

Support existing projects
Discuss research ideas
Identify D&I funding opportunities
Develop grant applications
Plan/Refine manuscripts
Prepare abstract submissions
Request training and other resources

For more information about CADIS and D&I science, please visit our website.

Consult Requested By (Name)*

Needed By (Date)

Department

Primary Investigator(s)*

Project Title*

Request Details*

Please describe the intervention or innovation that you are working with. Are you looking to disseminate this intervention to a specific setting or for a specific population? Are you looking to implement the innovation within a specific setting or for a specific population? What are some dissemination challenges you envision? What are some implementation challenges that you are facing? Please include any other information that will help us with your request.

Is this project currently funded?

Next Steps

What type of consultation would be most helpful?

Select or enter value

If other, please specify:

Desired completion date:

Please add your email if you would like to receive CADIS newsletters.*

Thank you.

We will respond to your request as soon as possible. If you do not hear back from us within 3 business days, please reach out to Dr. Prajakta Adsul at PAdsul@salud.unm.edu.

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