CIS Consultation Request Form
Email address *
Name *
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Phone number *
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Department *
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Affiliation / Status *
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Type of Research *
Required
For student research please indicate the faculty member responsible for the project, either advisor or professor in class assignment:
Your answer
If asking about an existing project that has already been approved or is under review, please include the study number:
Your answer
Funding Type:
Please describe how we may assist you (new study format, follow-up consult, IRBNET help, a brief summary, etc) *
Your answer
Type of consultation that you would like to schedule:
Your availability - Please list 3 days/times that you are available to meet with CIS staff
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A copy of your responses will be emailed to the address you provided.
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