Lifespan ClinTECH Clinical, Translational, Environmental, and Community Health Center Breadcrumb Lifespan HomeLifespan Centers & ServicesLifespan ClinTECH Lifespan ClinTECH Service Request Form Copy URL to Clipboard URL COPIED! Print Lifespan ClinTECH Service Request Form Your Contact Information Name First Last Suffix Degree Email address Please select any and all impact areas from the list below that might fit with your request: Concierge/Navigation: I'm unsure or it is complicated Impact Area: Clinical & Translational Research Impact Area: Education & Workforce Development Impact Area: Community Engagement & Population Health Impact Area: Diversity, Equity, and Inclusion Impact Area: Health & Justice Transformation Please select any and all service clusters below that might fit with your request: Concierge/Navigation: If you are unsure of what you need or it is complicated Service Cluster: Clinical Trials and Regulatory Services Service Cluster: Biostatistics, Epidemiology, Research Design, and Informatics Service Cluster: Regulatory Services and Research Administration Service Cluster: Research Computing Please select any and all specific items for which you think you need assistance: I am unsure or it is complicated Inquire about availability of part-time research staff (e.g., research assistant, research nurse) Inquire about availability of other logistical support for research Study design Data management REDCap support/training (Get faster service by emailing [email protected] with targeted questions) Data analysis Cohort discovery (Lifespan only) Electronic health record data abstraction (Lifespan only) IRB/IACUC support and training Planning and hosting an intern Finding and connecting with school/college/university Get information about existing programs with schools/colleges/universities Grants and contracts consultation Research computing consultation Community engagement consultation Diversity, equity, and inclusion consultation Health and justice transformation consultation Research finance consultation Please describe the services you require and any additional relevant information below: Principal Investigator/Project Owner Details Are you the owner/investigator? Yes No Grant & Funding Information Funding Mode Lifespan ClinTECH Center Contacts Are you already working with a Lifespan Office of Research staff member on this project? Yes No I have read and accept all the terms and conditions relating to this request Leave this field blank Lifespan ClinTECH About Us Training Seminars Building Community Education News & Events Population Health and Community Engagement Program Research Support Services Core BERDI Clinical & Translational Science Collaboration Core Regulatory Services Nursing Research Program ClinTECH Nursing Research Grant Announcement Lifespan ClinTECH Service Request Form Research Computing