UNMC CoPH: CCORDA Req Form

College of Public Health

College of Public Health Home
Center for Collaboration on Research Design and Analysis (CCORDA) Home

Scope of services

When to contact the CCORDA

Requests for CCORDA services

Online project request form

Contact CCORDA

CCORDA Request for Services

	Date:
	Name of Principal Investigator:
	Appointment type:	Faculty Staff Resident/Fellow Post-Doc Grad/Medical Student Other
	If student/resident/fellow Name of Faculty Mentor:
	Department/Division:
	E-Mail:
	Telephone:
	Indicate important time deadlines (abstracts, etc.):
	Reason for deadline:	grant submission abstract presentation manuscript other
	IRB approval:	yes no pending
	If "yes", IRB approval number:

Brief description of the project:

	1) Project title:
	2) Cancer related:	yes no
	3) Type of support requested:	Research design/development Database development Data acquisition and management Clinical research ethics Data analysis/statistical support

4) Brief goals and description of the project

Important things to bring to the first meeting:

Your research hypothesis.
Your data (if available -- on a disk or other portable media if electronic version is available). A printed example of your data is also useful for discussion. Please make sure you have IRB approval. Personal identifying information should be removed.
Relevant papers from the literature.
Your written research proposal or draft of your manuscript if available.