Johns Hopkins Center for AIDS Research Core Service Transaction Form
Required NIH Reporting Information for CFAR Program Users and Affiliates.
First Name *
Last Name *
Email Address *
What is your primary area of research? *
Investigator Level *
Please select one
NIH Special Emphasis Category:
Please select any that apply
Please select the program in which you are reporting your involvement or requesting services *
You can select multiple programs.
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.)
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.
Funding division (if NIH-funded) or funding source (if non-NIH-funded): *
If not currently funded, write "n/a."
Grant title (if currently funded) or project title (if not currently funded): *
Grant number (if applicable):
Is there a date that you require assistance by? *
(i.e. application deadline, etc.)
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.