The code block below illustrates how one might use # and // as comments in your logic and calculations.

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Required format:

Request to access COVID-19 Biological Specimens at CU Anschutz

We have created a centralized biobank and governance structure to collect and manage access to COVID-19 positive samples to facilitate research in this area at the CU Anschutz Medical Campus.

Please submit the application below before applying to the IRB for approval. It will be reviewed by the COVID-19 Biobank Steering and Allocation Committee in a timely manner. This ensures maximizing use of existing studies and clinical data available via Compass.

Given the current environment non-Covid-19 studies should not be using the biospecimen bank unless previously authorized.

Thank you!

Name

* must provide value

Date:

* must provide value

D-M-Y

E-mail address

* must provide value

Project Title

* must provide value

Project Idea (short description of project)

* must provide value

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Scientific Rationale (1 to 2 pages maximum, .pdf or .doc files only)

Upload file

Samples Requesting (please include sample type, number of samples, and volume of each sample) Be as specific as possible.

* must provide value

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Plans for Data Sharing (Include timeline with any limitations, will you share the raw data generated, please describe)

* must provide value

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Industry Partner Involved?

* must provide value

Yes

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List Industry Partner:

What safety level will be operationalized at the facility where the research will be conducted

* must provide value

Do you have sufficient PPE for the proposed work?

* must provide value

Yes

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Please describe insufficient PPE

Does your research proposal include work with animals?

* must provide value

Yes

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Is the research funding pending or do you have resources currently?

* must provide value

Funding Pending

Current funding source available

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Time line for research (How long will it take, when is preferred start and end dates)

* must provide value

Is the proposed work covered under your current IBC authorization?

* must provide value

Yes

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