Research Intake Form What is your name?(Required) First Last What is your department?(Required) What is your UF email?(Required) Please provide the title of your project:(Required) Please provide an overview of your project in 300 words or less:(Required)Does this project meet the definition of Human Subjects Research?(Required)See definition below. A human subject is “a living individual about whom an investigator (whether professional or student) conducting research: (1) Obtains information or biospecimens through intervention or interaction with the individual, and uses, studies, or analyzes the information or biospecimens; or (2) Obtains, uses, studies, analyzes, or generates identifiable private information or identifiable biospecimens.” Yes No Does your project perform any of the following:(Required) Behavioral observations/recordings Non-invasive physiological recordings Analysis of documents that were previously gather for non-research purposes Evaluation of behavioral/social interventions or manipulations Educational assessments Interviews Surveys Cognitive tests Taste/food evaluations of wholesome food within FDA regulations None of the above Does your project conduct research on UF faculty, residents, students or trainees?(Required) Yes No Will your project require a database to be built and or data management?(Required) Yes No Will your project require statistical analysis?(Required) Yes No Will there be a future grant submission associated with this project?(Required) Yes No Please list the funding body, grant mechanism, and date .(Required) Is there prior grant funding associated with this project?(Required) Yes No Please list the grant name, funder, and PI.(Required) Will your project be a single-site or multi-site study?(Required) Single-Site Multi-Site Will your project be industry-funded?(Required) Yes No Unknown Will your project collect biospecimens and need access to research laboratory space, equipment or personnel?(Required) Yes No Would you like to meet with the research team regarding the design of your study?(Required) Yes No CAPTCHA
