Jump to navigation
Jump to content
Explore UAB
MyUAB
BlazerNet
Canvas
Email
Future Students
Visit UAB
opens a new website
Apply to UAB
opens a new website
Request Info
opens a new website
Undergraduate Students
Advising
opens a new website
Undergraduate Catalog
opens a new website
Request Info
opens a new website
Research and Service Learning
opens a new website
Graduate Students
Graduate School
opens a new website
Graduate Catalog
opens a new website
Online Degrees
opens a new website
Parents & Family
Services
opens a new website
Resources
opens a new website
Family Visits
opens a new website
Alumni
Get Involved
opens a new website
Benefits
opens a new website
Events
opens a new website
Faculty & Staff
Office of Provost
opens a new website
Human Resources
opens a new website
Faculty Resources
opens a new website
Staff Council
opens a new website
Researchers
Office of Research
opens a new website
Harbert Institute
opens a new website
CCTS
opens a new website
Patients
UAB Medicine
opens a new website
UAB Dentistry
opens a new website
UAB Optometry
opens a new website
Athletics
Campus Map
Give
Calendar
News
Contact Us
Colleges & Schools
Arts
&
Sciences
Collat School
of Business
Dentistry
Education
Engineering
Graduate School
Health Professions
Honors College
Medicine
Nursing
Optometry
Public Health
Explore UAB
Center for Clinical and Translational Science
Quicklinks
BERD
CCTS Pilot Program
Cite the CCTS Grant
Clinical Research Trainings
CCTS Video Channel
Grant Library
Clinical Trials KIOSK
Clinical Support
Forms
BERD Cousultation Request
Clinical Services Form
CCTS Comms Requests
CCTS/COERE Grant Preparation Program Application
Kaizen R2T Registration
Panel Request Form
News and Events
Latest CCTS News
Upcoming Events
Upcoming Office Hours
CCTS Newsletters
CCTS Publicity Request
About
Search
This Site
All Sites
Search
Search
Partners
Partner Network
SHARe
Collaborative Platforms
Regional Shared Resources
Research Commons
Overview
COVID-19 Enterprise Research Initiative
Informatics
BERD
Panels
Funding Opportunities
Grant Library
Social Determinants of Health
Innovation & Entrepreneurship
CCTS expeDITIons
Training Academy
Overview
Research Fellowships
Trainings
Clinical and Translational Competencies
ACTion Learning
Kaizen Platform
Team
2024 Translational Science Symposium
Clinical Research
Overview
Getting Started in Clinical Research
Clinical Trials Kiosk
Clinical Services
OnCore
Trainings
Clinical Trials Lifecycle
Team
Resources
Telehealth Resources for Clinical Researchers
Engagement of Communities
Overview
Community Engagement Institute
Community Health Innovation Awards
Southern Commonweal
Trainings
2024 CEI Symposium/LEARN'd Conference
Special Modules
Overview
Genomic & Precision Medicine
Academic Drug Discovery and Device Development Program
Trainings
Center for Clinical and Translational Science
Close
Quicklinks
BERD
CCTS Pilot Program
Cite the CCTS Grant
Clinical Research Trainings
CCTS Video Channel
Grant Library
Clinical Trials KIOSK
Clinical Support
Forms
BERD Cousultation Request
Clinical Services Form
CCTS Comms Requests
CCTS/COERE Grant Preparation Program Application
Kaizen R2T Registration
Panel Request Form
News and Events
Latest CCTS News
Upcoming Events
Upcoming Office Hours
CCTS Newsletters
CCTS Publicity Request
About
Partners
Partner Network
SHARe
Collaborative Platforms
Regional Shared Resources
Research Commons
Overview
COVID-19 Enterprise Research Initiative
Informatics
BERD
Panels
Funding Opportunities
Grant Library
Social Determinants of Health
Innovation & Entrepreneurship
CCTS expeDITIons
Training Academy
Overview
Research Fellowships
Trainings
Clinical and Translational Competencies
ACTion Learning
Kaizen Platform
Team
2024 Translational Science Symposium
Clinical Research
Overview
Getting Started in Clinical Research
Clinical Trials Kiosk
Clinical Services
OnCore
Trainings
Clinical Trials Lifecycle
Team
Resources
Telehealth Resources for Clinical Researchers
Engagement of Communities
Overview
Community Engagement Institute
Community Health Innovation Awards
Southern Commonweal
Trainings
2024 CEI Symposium/LEARN'd Conference
Special Modules
Overview
Genomic & Precision Medicine
Academic Drug Discovery and Device Development Program
Trainings
Contact Us
ccts@uab.edu
205-934-7442
Panel Request Form
(*) denotes required field.
Please fill in "n/a" if not applicable.
PI Name:
(*)
Invalid Input
Email:
(*)
Invalid Input
eRA Commons ID:
(*)
Invalid Input
Institutional ID (i.e. Blazer ID):
(*)
Invalid Input
Institution:
(*)
Auburn University
HudsonAlpha Institute for Biotechnology
Louisiana State University Health Sciences Center
Pennington Biomedical Research Center
Southern Research
Tulane University
Tuskegee University
University of Alabama
University of Alabama at Birmingham
University of Mississippi Medical Center
University of South Alabama
Other
Invalid Input
Please list institution if not listed above:
Invalid Input
School:
(*)
Invalid Input
Department:
(*)
Invalid Input
Division:
(*)
Invalid Input
Project Title:
(*)
Invalid Input
Type of Application (i.e. R01, R03, K08, K23, T32, U01):
(*)
Invalid Input
Due Date:
(*)
Invalid Input
Request for Application (RFA):
(*)
Invalid Input
What other faculty co-investigators are involved in the project?
Invalid Input
Have you consulted with a biostatistician on the
design of your study
?
(*)
Yes
No
Invalid Input
Manuscript Submission:
(*)
Yes
No
Invalid Input
If yes, name of Journal?
Invalid Input
Does your application include the following:
(*)
HIV/AIDS Research
Clinical Trials
Pediatric Research
Disparities Research
Special Populations
None of the above
Invalid Input
Please list any special populations:
Invalid Input
Reviewers I would like on my panel (provide names and email addresses):
(*)
Invalid Input
Reviewers to exclude from my panel:
(*)
Invalid Input
(*)
Invalid Input
Submit
Contact Us
ccts@uab.edu
205-934-7442
