Research Partnership Application

APPLICANT INFORMATION
Name:
Title:
E-mail:
Institution:
Department:
PROJECT INFORMATION
Project Title:
Population:
Study Description (in 300 words or less):
Primary Hypothesis:
Outcome(s) Measures:
How do you plan to analyze the data?
Proposed start date: yyyy-mm-dd
Date Format: YYYY dash MM dash DD
Proposed end date:
Date Format: YYYY dash MM dash DD
How do you plan to disseminate the findings?
Anything else you'd like us to know?