Research Project Application

Application Process

1. Complete Principal Investigator (PI) Information:
- Name (First, Last)
- Position/Title
- Area of Expertise/Research Interest
- Name of Research Entity
- Full Address (Street, City, State, ZIP, Country)
- Phone
- Fax (optional)
- Website (including http:// or https://)
- Email

2. Provide Biospecimen Delivery Receiver and Location:
- Receiver Name (First, Last)
- Full Address (Street, City, State, ZIP, Country)
- Phone

3. Complete Project Information:
- Project Title
- Description/Public Health Relevance Statement
- Current funding status (Yes/No)
- Letter of support requirement (Yes/No)
- Primary source of funding
- Additional funding sources
- IRB approval requirement (Yes/No)
- Existing IRB Number (if applicable, mark N/A)
- Non-disclosure agreement requirement (Yes/No)
- Estimated Duration of Study
- Specific description of resources required (data, non-transplantable organs, tissue, or other resources)

4. Sign Acknowledgement:
- Agree to acknowledge LifeLink Foundation support and donor/family generosity in any resulting publication, presentation, abstract, grant application or poster

5. Submit Form
- All fields marked with "*" are required
- Response provided within five business days