Cardiff JRO - new project/study enquiry form

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1.1. Title of project/area of study

Your answer should be no more than 200 characters long.

2.2. Name of Lead Contact for project

a.2.a. Department and address of Lead Contact

b.2.b. E-mail address of Lead Contact

c.2.c. Contact phone number for Lead Contact

3.3. Brief Summary of Project

Your answer should be no more than 500 characters long.

4.4. Is a Clinical Trials Unit already involved with your project?

Yes

No

a.4.a. If yes, which CTU?

5.5. Do you have already have a planned funder or funding scheme for your project?

Yes

No

I do not need funding for this project

a.5.a. If Yes, please indicate which funder/funding scheme

b.5.b. If you have a planned funding scheme, is there a deadline for this scheme?

Dates need to be in the format 'DD/MM/YYYY', for example 27/03/1980.

(dd/mm/yyyy)

6.6. Is the only support you require from the JRO at this stage a Non-disclosure Agreement (NDA) or Confidential Disclosure Agreement (CDA)? - select one answer only.

Yes

No

I am not sure