TAG faculty/staff are available to assist and collaborate in research design, methodological, and analytical support for social, biomedical, behavioral, and clinically related projects. This support will come in the form of an initial 1-2 hour consultation with TAG faculty/staff. If additional work is warranted, a new request for up to an additional 10 hours may be submitted for consideration.
Today M-D-Y
Your name:
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Your NAU College:
* must provide value
College of Arts and Letters College of Education College of Health and Human Services College of Nursing College of Social and Behavior Sciences College of Environment, Forestry, and Natural Sciences Honors College Steve Sanghi College of Engineering The W.A. Franke College of Business CHER Other
Please select the option that best describes your professional role.
* must provide value
Professor
Associate Professor
Assistant Professor
Lecturer
Post-Doc
Staff
Other
PhD Student
Graduate Student on a Faculty Project
Professor
Associate Professor
Assistant Professor
Lecturer
Post-Doc
Staff
Other
PhD Student
Graduate Student on a Faculty Project
Note: PhD students may make a request for a 1-2 hour consultation where the faculty mentor will be present at the meeting.
Note: Graduate students currently working on a faculty project may be present at the meeting between the faculty PI and the TAG faculty/staff member assigned to the request.
Note: Staff members may submit a request on behalf of the faculty PI and work directly with the TAG faculty/staff member.
Do you identify as an Early Stage Investigator (ESI)?
The NIH defines an Early Stage Investigator (ESI) as a Program Director/Principal Investigator (PD/PI) who has completed their terminal research degree or end of post-graduate clinical training, whichever date is later, within the past 10 years and who has not previously competed successfully as a PD/PI for a substantial NIH independent research award.
* must provide value
Yes
No
Unsure
Prefer not to answer
Yes
No
Unsure
Prefer not to answer
Phone Number
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Your email:
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Preferred contact method:
Phone
Email
In person
Please select the type of project you are working on.
External Grant
SHERC project (Research Project, Pilot Project, Supplement, Recruitment Support, Community-Campus Partnership)
Other Internal NAU Grant
Other
External Grant
SHERC project (Research Project, Pilot Project, Supplement, Recruitment Support, Community-Campus Partnership)
Other Internal NAU Grant
Other
Is the project you selected above:
Proposal Development
Funded Project
Other
Proposal Development
Funded Project
Other
If other, please describe.
Is the project health equity related?
Yes No
Please select the type of research if applicable.
Social/Behavioral
Clinical
Biomedical
Biomedical & Clinical
Biomedical & Social/Behavioral
Social/Behavioral & Clinical
Other
Social/Behavioral
Clinical
Biomedical
Biomedical & Clinical
Biomedical & Social/Behavioral
Social/Behavioral & Clinical
Other
What is the funding FOA or RFA number?
Is the support related to development of a manuscript for publication?
Yes
No
Please select the type of support you are requesting:
* must provide value
Qualitative methodological/analytical support
Quantitative methodological/analytical support
Mixed methodological analytical support
Instrument development
REDCap assistance
ADAMS access
REDCap access (Jefferson)
Proposal review
Other
Qualitative methodological/analytical support
Quantitative methodological/analytical support
Mixed methodological analytical support
Instrument development
REDCap assistance
ADAMS access
REDCap access (Jefferson)
Proposal review
Other
What is the planned date of your submission? Please note that if this date is under three weeks away, we may be unable to assist you.
Today D-M-Y
Please give us a description of the of assistance you are requesting (be as specific as possible).
* must provide value
If other, please describe.
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Do you understand that you will need to follow NIH public access policy and acknowledge these resources by citing or acknowledging SHERC in any of the publications or grants that result from your work with TAG?
[Suggested language: The authors gratefully acknowledge the use of the Research Capacity Core and Technical Assistance Group Service Center support and facilities of the SHERC at Northern Arizona University (U54MD012388).]
* must provide value
Yes
No
Do you identify as someone who is underrepresented in the biomedical, clinical, and behavioral sciences (due to race, ethnicity, ability, gender/gender identity, sexual orientation, or other reason)?
* must provide value
Yes
No
Unsure
Prefer not to answer
Yes
No
Unsure
Prefer not to answer
SHERC wants to doc ument support of team science . F or the project you are requesting assistance with, do you work with other individuals outside of your discipline/academic department?
I work with individuals outside of discipline/Department on the project that I am requesting help with
I do not work with individuals outside of discipline/Department on the project that I am requesting help with
I work with individuals outside of discipline/Department on the project that I am requesting help with
I do not work with individuals outside of discipline/Department on the project that I am requesting help with
Number of years since you completed your highest terminal degree.Doctoral level or the highest advanced degree you have obtained.
Less than 5 years
5-10 years
11-15 years
16-20 years
More than 20 years
Less than 5 years
5-10 years
11-15 years
16-20 years
More than 20 years
For access to ADAMS, faculty/staff/students must meet one of the following pathways of requirement:
be a SHERC affiliated researcher (through research projects, pilot projects, SHERC funded equipment, or working on a project with a SHERC affiliated researcher) be working on a health equity related research project be working on a research project which collects and analyzes PHI or be researching data with high security demands Do you/does your project meet at least one of the above criteria?
* must provide value
Yes
No
For ADAMS access, are you requesting a new project folder on ADAMS?
* must provide value
Yes
No
Please state the name of the current project folder you are wanting to edit OR please state a short name for the project folder you are requesting:
* must provide value
Short description of the project:
* must provide value
IRB number associated with the project:(NAU ITS needs this number to uniquely create a project folder on ADAMS)
* must provide value
On separate lines, please list all NAU faculty, staff, or students needing access to this project folder on ADAMS in this format:
First name, last name, NAU CAS ID (e.g. abc123) This is required for access to ADAMS and your request will be unable to be met without this information.
* must provide value
Thanks! We will be in touch.