CHRI Services Intake Form

Please review prior to submission:

Completion of this form is the first step for CHRI members to secure research services including pre-award (budgets, grant submission), biostatistician assistance, scientific writer consultation, and research coordinator support from the Pediatric Research Office.

If you are not yet a CHRI member, sign up here to gain access to our many services!

Accurate completion of this form helps facilitate the timely deployment of the correct team member(s), as well as efficient internal tracking of CHRI projects. Thank you for your assistance!

We are experiencing a high volume of support requests. As a result, there may be a delay before staff are available to take on additional projects. We appreciate your patience.

What is the title of the project?

Please enter the lead Principal Investigator's (PI's) first name

Please enter the lead PI's last name.

Please enter the lead PI's preferred email address

This email will be our primary method of contact; please list an email you regularly review!

Are you the lead PI for this project?

If you are filling this out on behalf of the PI, select "No"

Yes

Which CHRI service(s) are you requesting for this project?

Pre-Award (i.e grant submission, budget, new subaward, etc)

Biostatistics support (i.e. power calculation, data analysis, etc)

Scientific Writer consultation (i.e manuscripts, abstracts, aims page, etc)

Pediatric Research Office (PRO) services (i.e. coordinator support, industry sponsored trials, etc)

Please provide any additional details about your project and the CHRI services you are requesting below:

Please upload any and all documents related to this project (study protocol, budget, emails, etc)

Do not upload any patient data to this form.

Drop your files here

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