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The Johns Hopkins Tuberculosis Research Advancement Center provides support and a variety services to TB investigators at Johns Hopkins University. To request a service from the TRAC, please fill out the form below.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. JHED ID

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* 5. NIH Investigator Level

NIH Independent Investigator (TB R01 funding or equivalent)

NIH Independent Investigator (Non-TB R01 funding or equivalent)

NIH New Investigator (Have received funding as a PI directly from the NIH, but not yet at the R01 equivalent level)

Faculty member with no history of (non-TRAC) NIH funding

Post doc or Research Fellow

Staff

Undergraduate or Graduate Student

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* 6. Please select the program(s) from which you are requesting services.

Administrative Core

Developmental Core

Clinical Core

Microbiology, Immunology, Animal Modeling and Imaging (MIAMI) Core

Pharmacology and Pharmacometrics Core (PPC)

Bioinformatics, Modeling and Biostatistics Core (BMBC)

Other (please specify)

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* 7. Describe what you are requesting assistance with or what services were provided (i.e. Calculating sample size, locating a particular assay, looking for an existing questionnaire, help in recruiting subjects, etc.)

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* 8. Are you requesting assistance on a currently funded grant?

Yes (TB-related, NIH-funded)

Yes (TB-related, non-NIH-funded)

Yes (non-TB-related, NIH-funded)

Yes (non-TB-related, non-NIH-funded)

No, project is not currently funded.

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* 9. Grant or proposal title for which you are requesting assistance

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* 10. Is there a date you require assistance by? (application deadline, etc.)

Date / Time

Date