Turn on more accessible mode
Turn off more accessible mode
Sign In
Portal Login
It looks like your browser does not have JavaScript enabled. Please turn on JavaScript and try again.
It looks like your browser does not have JavaScript enabled. Please turn on JavaScript and try again.
Home
About
Projects
ATRIA
RBC HEART
CVD Surveillance
CVRN Hypertension
CVRN ICD
CVRN VTE
PRESERVE HF
MCC-HF
CVRN WAVE
Publications
Collaboration
Currently selected
Collaboration Process
Collaboration Proposal Form
Contact Information
Contact Us
Page Content
CVRN Proposal Submission Form
Do you have a CVRN Proposal? Please complete the form below.
ADMINISTRATIVE
First
Last Name
Degrees(s)
Job Title
Email Address
Phone Number
Institution
Department
City
State
Reason for Inquiring (mark all that apply):
Learn more about CVRN data and research capacity
Collaborate on a potential grant proposal
Connect with CVRN investigators to implement a funded project
Other:
Funding Source:
Grant support has already been awarded by (list agency):
A grant proposal is currently under review by (list agency):
We plan to submit a grant proposal in the next 9 months
Just exploring at this time
1. Project Title:
2. Lead Investigator Name(first, last) and primary Institution(if different from submitter):
3. Proposed co-investigators (Names, Affiliation), if any
1.
2.
3.
4.
4. Brief description (Not required)
Background:
Aims:
Study Design:
Target Population:
Predictor Variables:
Analytic Approach:
5. Keywords
6. Is this proposal requesting distribution of a dataset outside of a CVRN site?
Yes
No
Enter Captcha code show above :