CFAR Biostatistics & Biomedical Informatics Core Service Request Form

Bob Lyles, PhD, Director
Kirk Easley, MS, Associate Director

Identify the Principal Investigator associated with the service request.

Identify the Principal Investigator's school, business, or agency if NOT Emory University

If someone other than PI is making the request, provide the name here.

Indicate how your project is funded. If through the NIH, provide the grant # below.

If applicable

Provide the title as submitted on the funding application.

Provide the name of the funding agency in the box below.

Please check all that apply.
NOTE: Up to three hours of consultative/collaborative service provided without charge.

Please provide a brief summary of the services / support you are requesting.

Provide the 10-digit speedtype associated with this project, including zeros. No billing will occur without prior approval of the Principal Investigator.

Provide your project summary and specific aims in pdf format.

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