Biostatistics Collaboration/Support Request Form

Please complete the information below and press submit. Someone from the Cedars-Sinai Samuel Oschin Comprehensive Cancer Center will contact you as soon as possible to address your needs. We will make every effort to meet deadlines, as our availability permits

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Principal Investigator first name:
Principal Investigator last name:
Principal Investigator email:
Principal Investigator department, division, or institute:
Contact/Requestor first name:
Contact/Requestor last name:
Contact/Requestor email:
Contact/Requestor phone:  -   - 
I need help with:
(Check all that apply)
 Data analysis
 Sample size / power analysis
 Study design
 Data management
 New grant application
 Revised grant application
 Manuscript preparation / review
Funding source for project:
(Click all that apply)
 National Cancer Institute
 Other National Institute of Health
 American Cancer Society
 National Science Foundation
 Pharmaceutical company
 Private foundation
 Not funded
Has a statistician already worked on this project:  Yes  No
Is this project approved by the Cedars-Sinai IRB or IACUC:  Yes  No
Are you under any deadline:  Yes  No
Project Title:
Please provide a brief description of your request:
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Version: 1.1.0