CCSS GWAS Request for Proposal Review Information

Application for Genome-Wide Association Study Data Access

Asterisk (*) indicates a required field.

Contact Information

First Name*

Last Name*

Institution*

Address 1*

Address 2

City*

State/Province/Region*

Zip/Postal Code*

Phone Number*

Alternate Phone Number

Email Address*

Data Use Information

Application for Data Access*(.doc or .pdf file preferred. Maximum of five pages for specific aims, background/significance, requested data elements, approach, statistical considerations and timeline. Cited literature cannot exceed 1 additional page)

Investigative team and qualifications*

Upload a NIH Biosketch for each investigator:

Add Investigator File Remove Investigator File

Available Resources/Funding Plans*

Data Use Certification

Institutional documentation that the CCSS material transfer agreement is acceptable*St. Jude Data Use Agreement
St. Jude Materials Transfer Agreement

I agree to:

Limiting data use to project described in Application for Data Access*

Not distributing data beyond those directly engaged in the analysis outlined in the Application for Data Access*

Not attempting to identify or contact study participants from whom phenotype data and DNA were collected*

Abide by general principles regarding intellectual property*

Adhering to policies on timeframe for publications stemming from data*

Submission of a detailed annual progress report*

Initials*

Date Submitted*

I agree to share this information with St. Jude*
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