Johns Hopkins Center for AIDS Research Core Service Transaction Form
Required NIH Reporting Information for CFAR Program Users and Affiliates.
* Required
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
JHED ID
*
Your answer
What is your primary area of research?
*
Behavioral and Social Sciences
Clinical
Immunology, Virology, Microbiology
Prevention
Epidemiology
Biostatistics
Community
Other:
Investigator Level
*
Please select one
NIH Independent Investigator (HIV/AIDS R01 funding or equivalent)
NIH Independent Investigator (Non-HIV/AIDS R01 funding or equivalent)
NIH New Investigator (Have received funding as a PI directly from the NIH, but not yet at the R01 equivalent level)
Faculty member with no history of (non-CFAR) NIH funding
Post doc or Research Fellow
Staff
Undergraduate or Graduate Student
NIH Special Emphasis Category:
Please select any that apply
Recipient of a CFAR Faculty Development Award, mentoring or other CFAR services
Recipient of NIH CFAR administrative supplement
Under-represented group in HIV/AIDs research (African-American, Hispanic, Native American, Alaska native, native Hawaiian, Pacific Islander
Women
Please select the program in which you are reporting your involvement or requesting services
*
You can select multiple programs.
Administrative Core
Biostatistics, Epidemiology and Methods Core
Clinical Core
Clinical Laboratory and Biomarkers Core
Developmental Core
Prevention Core
Required
Describe what you are requesting assistance with or what services were provided
*
(i.e. Calculating sample size, locating a particular assay, looking for an exisitng questionnaire, help in recruiting subjects, etc.)
Your answer
Are you requesting assistance on a currently funded grant?
*
If yes, please indicate if it is related to HIV/AIDS and whether it is NIH-funded.
Yes (HIV/AIDS-related, NIH-funded)
Yes (HIV/AIDS-related, non-NIH-funded)
Yes (non-HIV/AIDS-related, NIH-funded)
Yes (non-HIV/AIDS-related, non-NIH-funded)
No, project is not currently funded.
Funding division (if NIH-funded) or funding source (if non-NIH-funded):
*
If not currently funded, write "n/a."
Your answer
Grant title (if currently funded) or project title (if not currently funded):
*
Your answer
Grant number (if applicable):
Your answer
Is there a date that you require assistance by?
*
(i.e. application deadline, etc.)
Your answer
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