CFAR Biostatistics & Biomedical Informatics Core Service Request Form
Bob Lyles, PhD, Director
Kirk Easley, MS, Associate Director
Principal Investigator (Last Name, First Name)
Identify the Principal Investigator associated with the service request.
Principal Investigator Email
Principal Investigator Institutional Affiliation
Identify the Principal Investigator's school, business, or agency if NOT Emory University
Other Contact / Service Requester
If someone other than PI is making the request, provide the name here.
Other Contact / Service Requester Email
Indicate how your project is funded. If through the NIH, provide the grant # below.
Federal Funding (NIH Only)
CFAR Developmental Core Grant
CFAR Developmental Grant Applicant
Proposal Development (no funding)
Subsidized Data Analysis
NIH Grant Number
Provide the title as submitted on the funding application.
Other Funding Source
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.
Including: data analysis, study design, sample size calculation, etc.
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.
Send me a copy of my responses
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