CWIS Research Study Proposal

CWIS Research Study Proposal

Online request form
Proposal forms must be completed in its entirety, incomplete forms will not be considered.

All data submissions should be entered through this CWIS Research Study Review website portal. Submissions will be reviewed monthly by the CWIS Research Committee, and then prospective Primary Investigator will be notified of results.

Questions?

If you have any questions, please submit your inquiry to information@cwisociety.org.
General Information
Study Title*
Primary Investigator/Senior Researcher*

First NameLast NameCredentials
Preferred email for Primary Investigator/Senior Researcher*
example@example.com
Primary Investigator/Senior Researcher (#2 if applicable)

First NameLast NameCredentials
Preferred email for Primary Investigator/Senior Researcher (#2 if applicable)
example@example.com
Are you a current member of CWIS?

YesNo
If you selected "No" above please identify a Sponsor that is an active CWIS member:

First NameLast NameCredentials
- My study proposal is...*
  
  RetrospectiveProspective
- Please briefly outline the burden of the problem to be examined. *
  (1-2 paragraphs only)
- Primary aim - should be succinctly stated here.*
- Secondary aims
- Inclusion criteria*
- Exclusion criteria*
- Therapeutic interventions*
- Data repository
  
  Chest Injury International Database (CIID)RedCAPOther
- What IRB needs do you anticipate?
  
  Individual IRB approvalCentral IRB approvalNo IRB approval neededOther
- Please list any operational needs/expectations of CWIS to execute this project.
- Please list any schlolarly needs/expectations of CWIS to execute this project.
- File upload portal 1 (if applicable)
  
  Browse Files
  You may upload more than one file into this portal. Due to technical limitations, maximum file size for each file is capped at 100MB when using this option. If file size exceeds this limit, load files individually in each portal. Cancelof
- Comments
- Electronic signature
- Today's Date
  
  MonthDayYear
  Date
- Questions?
  
  If you have any questions, please email CWIS at information@cwisociety.org.
- Should be Empty:

CWIS Research Study Proposal

Questions?

General Information

Questions?