Office of Community Outreach and Engagement

Office of Community Outreach and Engagement

Research Engagement Request Form

Purpose: This form is designed to gather information to determine the level of community engagement assistance needed for your research program and clinical trials accruals.
COE Office Strengths

Consultation on study design: priority population(s), catchment area needs, participant eligibility and recruitment, promoting study to community
Facilitate collaborations: with community investigators, community organizations, community leaders, community advisory board members
Coordinate community engagement studio: to guide study development and/or problem solving
Advise on study challenges: including participant recruitment, translation needs, and other barriers to participation.

Next Question

1.Contact Information

First Name of Principal Investigator (PI)

Last Name of Principal Investigator (PI)

Department/Division

Phone Number

Email Address

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