Research Assistance Request
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
Please select...
Undergraduate capstone/thesis project
Master's thesis
Doctoral candidate dissertation
Institutional faculty research project/study
Other
Company sponsored project/study
If other, please explain.
What kind of research is this?
Please select...
Phase I clinical trial
Phase II clinical trial
Phase III clinical trial
Phase IV clinical trial
Case control study
Cohort study
Other
Approximate Study Start Date:
Approximate Study End Date:
Project Title
Source of project funding
Please select...
Government (NIH/NIDDK)
Foundation
Company Sponsored
Internal Budget
Other
Unfunded
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 select...
Approval Received
Approval Pending
Not yet submitted
Not seeking 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 The Diabetes Link Impact Areas?
Peer Support
Education
Leadership Development
Other / Not Applicable
Please describe how you picture The Diabetes Link's involvement in this study.
What type of participation are you expecting from individuals participating in the study?
Please select...
Single Time Survey
Repeated Surveys
Biological Specimen Collection
Trial Participation
Other
If other, please explain.
Do you plan on issuing incentives for The Diabetes Link participants?
Yes
No
Undecided
Not 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 The Diabetes Link's outreach channels (social media, newsletters, etc.) please provide a 1-2 sentence description of your project for The Diabetes Link to include.
* Please note, sharing on social media can result in spam or fake responses for your survey.
If there is a link relative to your research study (i.e online survey) please include it here.
If you have any imagery for The Diabetes Link to use on social media, please upload it here:
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