Research Assistance Request

This form is intended for researchers and clinicians who are seeking The Diabetes Link’s assistance to distribute surveys and/or opportunities to participate in research. If your request is approved, our Marketing and Communications team will promote your study across our social platforms, namely Instagram, Facebook, and Twitter. Important: This form is NOT intended for commercial entities or purposes. Companies in the diabetes space should email Andrea Skinner andrea@thediabeteslink.org to learn more about how they can share their research through our community. Please note, based on The Diabetes Link's strategic priorities and limited resources, not all requests will be accepted. Thank you for your understanding.

About You

First Name

Last Name

E-mail Address

University, Institution, or Organizational Affiliation

About Your Project

Project/Study Type

If other, please explain.

What kind of research is this?

Approximate Study Start Date:

Approximate Study End Date:

Project Title

Source of project funding

If other, please explain.

Briefly describe the research project that you are working on, including the objectives and purpose of your study.

Status of IRB approval

Please list any other organizations involved in the study and how they are involved.

Impact & Involvement

Does the subject of your study relate to any of the following The Diabetes Link area of impact?

Peer Support - fostering connections and community to improve QOLEducation - information and learning targeted at young adultsLeadership Development - inspiring the next generation of leaders in diabetes care and innovation

If Education related, would you be interested in supporting the development of materials for our Resource Hub?

Please describe how you picture The Diabetes Link's young adult constituents benefiting by participating in this study.

How many participants are you looking to recruit? An approximate number is fine.

What type of participation are you expecting from individuals participating in the study?

If other, please explain.

Will you provide incentives for The Diabetes Link participants?

YesNoUndecidedNot applicable

Description of incentives

If there is a link relative to your research study (i.e online survey) please include it here.