The College Diabetes Network: Research Assistance Request

Please note, based on CDN'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.

CDN Involvement

Does the subject of your study relate to any of the following CDN Impact Areas?

Peer SupportEducationLeadership DevelopmentOther / Not Applicable

Please describe how you picture CDN's involvement in this study.

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

If other, please explain.

Do you plan on issuing incentives for CDN participants?

YesNoUndecidedNot applicable

Description of incentives

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

If you are seeking recruitment for your project via CDN's outreach channels (social media, newsletters, etc.) please provide a 1-2 sentence description of your project for CDN to include.

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

Contact Information