Cures Within Reach Grant Reviewers / CureAccelerator® Science Advisors: Profile Information Question Title * 1. Which of the following disease categories are in your area of expertise or personal / professional experience (check all that apply)? Oncology Rare diseases Pediatrics / Neonatology Autoimmune diseases Diabetes / Endocrine Neurological diseases Mental health / Addiction Nephrology Inflammation Inner ear / Vestibular Gastroenterology Otorhinolaryngology Infectious diseases Cardiology / Pulmonary / Vascular Hematology Ophthalmology Neglected diseases Women's health Men's health Geriatrics Emergency medicine Dental Public health Other (please specify): OK Question Title * 2. What types of research are in your area of expertise or personal / professional experience (check all that apply)? Drug screening Bioinformatics / Omics In vitro / cell based research Animal research Clinical trials Clinical trials in low and low-middle income countries Medical device research Nutraceutical research Health disparities research Epidemiology Biostatistics In silico drug development Other (please specify) OK Question Title * 3. In which of the following categories do you have personal / professional experience or do you have a specific interest (check all that apply)? Veterans health or other veterans-related issues Pediatric health Supporting diversity, equity and inclusion in biomedical research by supporting racial minority PIs Supporting diversity, equity and inclusion in clinical trials by involving minority patients Addressing health disparities in minority populations Other (please specify) OK Question Title * 4. Have you ever conducted, or been involved with, repurposing research, testing approved drugs, devices or nutraceuticals in a new indication or revising existing diagnostics or treatment protocols to improve patient outcomes (check all that apply)? Yes, testing repurposed drugs Yes, testing repurposed devices Yes, testing nutraceuticals Yes, revising existing diagnostics or treatment protocols No Please briefly describe your experience OK Question Title * 5. Which of the following types of other research experience do you have (check all that apply)? Research in the United States or Canada Research in Europe or Australia Research in Africa Research in South America Research in Asia Research in other geographic areas Research with potential for orphan drug status Research with potential for intellectual property Research with potential for market exclusivity Research with other potential for commercial value Other (please specify) None of the above OK Question Title * 6. What types of other research-related experience have you had (check all that apply)? Grant reviewer for a government agency (i.e., National Institutes of Health, Canadian Institutes of Health Research, European Research Council) Served on any government agency Advisory Boards Grant reviewer and / or Board member for a disease-specific non-profit organization (i.e., American Cancer Society, American Heart Association) Edited scientific journals, books or other publications Served as a scientific spokesperson for any type of organization None of the above Please describe your research-related experience, including other types not specifically mentioned here. OK Question Title * 7. Do you have experience working with formation stage, seed stage or early stage companies developing pre-market drugs, medical devices or other regulated technologies? Yes No OK Question Title * 8. At what type of institution / organization do you work (check all that apply)? Academic institution Hospital / health system Private medical practice CRO / CMO Healthcare startup Biotech company Pharma company Medical device company Nonprofit organization Private foundation Patient advocacy group Government agency Other (please specify) OK Question Title * 9. Would you be interested in serving on a CureAccelerator user panel to provide feedback on the platform? Yes No OK Question Title * 10. Would you like to remain in the pool of Science Advisors on CureAccelerator? Science Advisors are periodically asked to review project Letter of Intent (LOI) submissions on CureAccelerator, to help determine if a) the repurposing research proposals fit within the mission and goals of Cures Within Reach, and b) the LOI ranks high enough to request a full grant submission. Science Advisors may also be contacted to review Full Grant submissions within their area of expertise. Yes No OK Question Title * 11. For demographic purposes, Cures Within Reach would like to know your ethnicity. This is for internal use only. Check all that apply. Asian Black / African Caucasian / White Hispanic / Latinx Native American / Alaska Native Native Hawaiian / Pacific Islander Prefer not to answer Other (please specify) OK Question Title * 12. Please include your contact information, so that we can update your CureAccelerator information: Name * Company * Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address * Phone Number OK DONE - THANK YOU!