Cancer and Aging Research Group (CARG) and CARinG Inquiry Form

The purpose of the Inquiry Form is to reach out to CARG and/or CARinG Cores with any research/scholarly inquiries. Please complete the survey below with as much information you can provide.

*questions are required fields

If you have any questions, please email CARinG@coh.org

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* 1. First, Last Name:

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* 2. Email Address:

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* 3. Current Professional Role/Title:

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* 4. Current Institution/Organization:

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* 5. Is this your first query about this proposal/project?

Yes

If yes, please briefly state your question here:

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* 6. What phase of development is your question/proposal/project?

developing research question

identifying a data resource

reviewing existing specific aims/grant proposal

analyzing data results

discussing results

seeking patient advocate input

mentoring/partnership

networking/brainstorming

developing/reviewing study design

Other (please specify)

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* 7. What stage is this proposal/application?

Brainstorming

Draft

In Progress

Final

Analysis

Dissemination

Other (please specify)

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* 8. In order to respond to your query in a timely manner, please state your timeline for your proposal/project and list any deadlines that may be helpful to the Cores

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* 9. If this a funded project, from what grant/award and for what period?

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* 10. Please add any attachment you wish to share (this will NOT be distributed to the greater group without your consent)

Limited to 5 pages (attachments can be a brief paragraph about your question, study, project, specific aims, proposal, abstract, etc)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 11. Are you looking to consult with a specific Core?

Yes

If yes, please specify which Core

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* 12. Please check the interested Core(s)?

Measures Core

Supportive Care Core

Health Services Core

Analytics Core

Communication Core

Clinical Implementation Core

Other (please specify)

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* 13. Please select preferred meeting in order to have one-time (or occasional) feedback on your project from Core members?

CARinG Core Meeting (Monthly)

CARG Conference Call (Tuesdays Biweekly)

SCOREboard Patient Advocate Meeting Call (3rd Tuesday of every Month)

Other (please specify)

Cancer and Aging Research Group (CARG) and CARinG Inquiry Form

Question Title

* 1. First, Last Name:

Question Title

* 2. Email Address:

Question Title

* 3. Current Professional Role/Title:

Question Title

* 4. Current Institution/Organization:

Question Title

* 5. Is this your first query about this proposal/project?

Question Title

* 6. What phase of development is your question/proposal/project?

Question Title

* 7. What stage is this proposal/application?

Question Title

* 8. In order to respond to your query in a timely manner, please state your timeline for your proposal/project and list any deadlines that may be helpful to the Cores

Question Title

* 9. If this a funded project, from what grant/award and for what period?

Question Title

* 10. Please add any attachment you wish to share (this will NOT be distributed to the greater group without your consent)

Question Title

* 11. Are you looking to consult with a specific Core?

Question Title

* 12. Please check the interested Core(s)?

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* 13. Please select preferred meeting in order to have one-time (or occasional) feedback on your project from Core members?

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* 14. Please list any comments or questions you have here