Support request

Title
MrMrsMsDr

First Name (required)

Last Name (required)

Your Institutional Email Address (required)

Are you a C-OPN member ? (required)
YesNo

Organization/Institution (required)

Your Position (required)

Examples: PI, Clinician, PhD/MSc student, Post-doc

Project Principal Investigator (First name, Last name)

Project title

Project description (150-200 words describing goal and main outcomes)

Type of request
REDCap report creationBiobank samplesData requestRegistry for study promotionInformation requestOther type of request

Message

Please include additional details pertaining to the specific resources in which you require access (i.e. specific datapoints, biobank sample type [DNA, serum, PBMCs, plasma], and/or local vs. national study promotion).

File Upload (max 2Mo).

Please attach a copy of the Research Ethics Board (REB) approval certificate for this project.