MORE Analysis Proposal Form

       
Proposer's name:
 
  Date:
Mailing address:
 
e-mail address:
 
Telephone:
 
Fax:

1) Title of proposal:

 

2) Please attach a brief summary of your proposal that includes the following:

- hypothesis or research question
- a brief background (why is this analysis important?)
- list the variables to be used in analysis (be specific)

3) Please indicate the following dates if applicable to your proposal:

 
    Deadline for submission of abstract ____/____/____
 
    Target date for submission of
    final manuscript to the Steering Committee
____/____/____
 

4) Who will do the analyses? [ Coordinating Center / Clinical Center ] (circle one)

5) Other investigators who you know will be working on this analysis:

 
 

 
 

 

 
 

 
 
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For Publications Committee use
 
Publication # _______
Publications Committee Approval Date: ____/____/____
cc Approval: SC ___
Comments: