Immunology Center Research Request

 
 
 
 
 

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Requesting Investigator:
Are you affiliated with The Miriam Hospital Immunology Center *
The Miriam Hospital Immunology Center Collaborator:
 All research requests must have a Immunology Center faculty member collaborator. 
Principal Investigator:
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IRB Approval 
Please note: IRB approval is required from one of the following mechanisms *
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Will Immunology Center research staff be needed? *
Will Immunology Lab support be needed? *
If Immunology Center research staff will be needed would you like us to contact them about the service? *
If lab services are needed would you like us to contact them about the service? *
I agree that all manuscripts or public presentations must be reviewed by the appropriate Infectious Disease and/or Immunogy Center faculty.  I will acknowledge the support from CFAR and The Miriam Hospital Immunolgy Center, as well as any other relevant grants such as R25 and T32 support, in all manuscripts. *
Signature *
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