University of Notre Dame / Beacon Health System Interest Form

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The University of Notre Dame and Beacon Health System are excited to build on their partnership and request that interested individuals use this interest form to describe their needs. Please complete your request as thoroughly as possible below.

Requests are reviewed monthly.

General Notre Dame questions may be sent to chcp@nd.edu. Beacon colleagues may contact Kimberly Green Reeves, Vice President, Community Impact & Partnerships, at kgreenreeves@beaconhealthsystem.org with questions.

Email *

Full Name *

From which organization are you seeking support? *

Area of interest *

Cancer

Data

Community Health

Other:

With whom do you wish to connect? (Name of individual or professional role)

Request Type *

Letter of Support

Letter of Collaboration

Consultation: One-time meeting or conversation

Collaboration

Data

Research Project Idea

Other:

Deadline or relevant timeline details *

Project Name *

Project Summary *

Please provide information about the funding status of your proposed project

Include a description of: (1) any funding already secured (with sources, amounts, and project IDs), (2) anticipated funding needs if funding has not yet been secured (with plans or timelines for future procurement), or (3) confirmation if no funding is required.

Additional request details

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