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College of Allied Health Sciences
Department of Biostatistics


Consulting Request Form

Please complete the following form and somebody will contact you within a week. Items in bold are required. If your project has co-investigators, please list their name and affiliation in the description block. If you do not receive a confirmation e-mail within 24 hours of submitting your request, please resubmit.
Phone #:
Your Location:
  If location is "other", please list here:
Department Chair:
Project Title:
Provide a brief (1 to 2 sentence) description of your project.
Help Needed:
Please indicate what type of statistical help is needed (i.e. design, analysis, graphics, etc).
Collected Data:
Consulting Purpose:

Advisor: If the consult is for a student, who is the main advisor?
Principal Investigator: If this project is not a thesis, then who is the principal investigator?
Attach CV/Résumé: Curriculum vitae or résumé is required before a project is accepted.