Research Collaboration Request Form

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If your project is in the initial stages of development, provide a brief description here and skip to the “Other Information” section.
Include time line and the number of immunization programs that will need to participate.
Please upload.
Accepted file types: doc, pdf, Max. file size: 2 GB.
Do you have funding to support your project?
Would you agree to give AIM user rights to the data gathered from AIM members?
Would you agree to present results to AIM membership prior to public release of the data?
Would you agree to give AIM co-authorship opportunity in your publication/manuscript?
Do you expect AIM assistance in coordinating the project?
Do you expect a letter of support from AIM?
Do you expect AIM input/feedback on your proposal?
Do you expect AIM input/feedback on your instrument?
Do you expect AIM to assistance in analyzing the data?
Do you expect AIM assistance in interpreting the data?
Do you expect AIM assistance in communicating the data?
If you answered yes to any of these, are you prepared to pay a consultant fee?
Do you expect AIM assistance in collecting the data?

For More Information

Please contact Katelyn Wells, AIM Chief Research and Development Officer, at (301) 424-6080 for additional information.

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