FORCE and the ABOUT Network receive many requests for research collaborations. If you are interested in a research collaboration with FORCE or the ABOUT Patient Powered Research Network, please fill out this application. Please allow us 3 weeks to respond to your application. INVESTIGATORS: If you are requesting collaboration on a research proposal or recruitment assistance, please be prepared to submit a schema for our review.

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* 1. FORCE and the ABOUT Network can assist with patient engagement across all phases of research. Below are some of the services that we provide. What type of collaboration or partnership are you interested in? (choose all that apply)

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* 2. Name of study, project, proposal

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* 3. Has this project received funding?

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* 4. Name and contact information of person making request

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* 5. Name of PI, coordinator, or person in charge of study or program

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* 6. Name of collaborating institutions/co-PIs/consultants

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* 7. Funding source (if applicable)

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* 8. Funding mechanism

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* 9. Proposed collaboration period (begin and end dates):

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* 10. Request due date

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* 11. Abstract and specific aims, including source and size of study population (if applicable)

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* 12. Proposed role for ABOUT/FORCE (please be as specific as possible)

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* 13. Is there any funding budgeted for FORCE/ABOUT Network efforts and services?

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* 14. How might your project further FORCE's mission to improve the lives of people and families affected by hereditary breast and ovarian cancer?

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* 15. Please list how patients/consumers were involved in the design, conduct, or other aspects of the study.

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