NBCR Collaborator Application

Please complete the NBCR Collaborator application below with the details about your project.
Your application will be reviewd by the NBCR's Executive Committee.

Any field with a red asterisk * denotes a required field.

Section 1: User Information

First Name * Last Name *
Email * Phone *
Fax * Degree *
Title * Other Title
Principal Investigator (please enter data if PI is NOT applicant *)
Applicant is the PI. No additional information is required.
First Name Last Name
Email Phone
Fax Degree
Title Other Title
Institution Information
Institution *
Department *
Organization/Lab *
Major Research Area *
Institution Address
Address Line 1 *
Address Line 2
City * State *
Province (non-US) Postal code *
Country *

Section 2: Project Description

Project Status
Select Project Status * Continuing New
Title and Keywords
Title *
Keywords *
Please provide a brief abstract (similar in content to the abstract for an NIH grant application).
Once your project is approved this abstract will be included as part of the NBCR annual report
to NIH and will be available on the publicly accessible CRISP NIH database. *
Please provide a more detailed description of the project you wish to carry out with NBCR resources.
This information will stay confidential. We will use both the non-confidential and confidential materials
in evaluating your application. *

Section 3: Resource Request

Computational Resources
Software *
Cluster / web server *
How many times do you plan to visit NBCR? * Visits per
Project Personnel
Will you provide personnel? * Yes No
First Name Last Name
Title Other Title
Email Degree

Section 4: Funding

Peer-reviewed funding is required for project or resource usage application approval. A minimum of one funding source is required.*
If more than one funding source is available, ALL FIELDS are required to be counted as a complete funding source.
  Source Grant Number PI First Name PI Last Name Grant Title Funding Period

Section 5: References

Please provide citations for three* to five relevant publications most applicable to your proposed NCMIR project/resource request.
If only 1 to 2 publications are available, please enter "NA" on the remaining required fields.
1* 4
2* 5
Please verify that all required fields are filled out and submit your application: