Healthcare Professionals | Resources | GRANT Requests | Research RequestResearch Request Please complete the research application form below. Globus will review the application and be in touch regarding approval. Principal Investigator Name(s), Institution, and Address*Is This Request For Internal Research At MERC or External Research? Internal External If External:Where will it occur?Requesting funding?* Yes No Amount* Which Globus and Non Globus Products Does This Involve?GlobusNon GlobusPlease describe the proposal in two or three sentences (provide some detail):Is protocol included with this applicaton? Please attach. Yes No FileAccepted file types: jpg, pdf, doc, docx, csv, xls, xlsx, Max. file size: 50 MB.Allowed file types: jpg, pdf, doc, docx, csv, xls, xlsxApproximate date protocol will be submitted Do you need help from Research to make protocol? Yes No If requesting external funding, please include a budget justificationAre there any publications relating to this project? Yes No What are they?Is your intent to publish this material?* Yes No If there was one differentiating aspect of this research, what would it be?
