Biostatistics Core Consultation Request Form

If you are interested in requesting a consultation with the Biostatistics Core, please complete and submit the form below.

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Investigator Information

Principal Investigator First and Last Name

Principal Investigator Email

Principal Investigator Phone Number

Principal Investigator Department

Principal Investigator Institution

Have you used this form in the past?

Primary Contact

Is the primary contact person different from the above?

Primary Contact Role

Primary Contact First and Last Name

Primary Contact Email

Primary Contact Phone Number

Project Information

Working Project Title

Subject Matter and Disease Area

Brief Project Description

Please provide a goal or specific aims for the proposal.

Most Urgent Deadline

Is this project IRB approved?

If yes, provide the IRB number.

Is this a funded project?

If yes, provide name of funding agency.

If yes, provide grant number.

If no, select one of the following.

Services Requested

Select as many services you are requesting as appropriate from below. Please choose at least one.

Study Design and Grant Proposal Development. For example: conceptualize initial discussion; determine study design; power and sample size calculations; protocol development; data analysis plan development; budget estimate for grant proposal.

Data Analysis. For example: analytic dataset preparation; data cleaning; biostatistical analysis of existing data; summarization and interpretation of statistical results; manuscript review; preparation of public use or repository datasets.

I’m not sure what I need, or I don’t see it here.

Additional Information About Services Requested

Please provide additional information about the services you’re requesting, if they differ from above.

Please upload any relevant files. If you have more than one file to upload, please zip all files together and upload the zipped file.

One file only.
50 MB limit.
Allowed types: pdf, doc, docx, txt, xls, xlsx, ppt, pptx, jpg, jpeg, bmp, png, gif, zip.

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Biostatistics Core Consultation Request Form | NYU Grossman Long Island School of Medicine | NYU Langone Health

Biostatistics Core Consultation Request Form

Investigator Information

Primary Contact

Project Information

Services Requested