SA Consult Request

Scholarly Activity Consultation Request

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Hospital *

Specialty *

Role *

Project Status *

How many MSUCOM students are involved in this project? *

Preferred Communication Method *

Preferred Contact Time *

Area(s) of Assistance *

Analysis of your data/sample size calculations Assistance with IRB application and/or responses Assistance with mid-project issues/challenges Copy Editing Only Creation of your data set and codebook Help with disseminating your final results Help with a grant proposal Refinement of your initial project topic area/idea Selection of project measures

What is the area, aims, sample, etc. of your project. *

Time period of project/SCS services requested *

SUBMIT

Consult Request

​Scholarly Activity Consultation Request

Scholarly Activity Consultation Request