Internal Medicine Research Idea Form

Research Idea & Collaboration Interest Form

To facilitate engagement and increase opportunities for broader participation in academic research, we are pleased to invite individuals with an idea💡for a research project or scholarly activity to register their intent with us. Please complete the information below to identify your specific interests and become a part of our research community. Your participation is valuable, and we are excited to collaborate with you.
Name*

First NameLast Name
Email*
example@example.com
UT Affiliation (If any)*
Research Idea*
Anticipated needs to move forward with the research idea*
Date available to begin collaboration with us*

MonthDayYear
Date
Any Additional Information
Should be Empty:

Research Idea & Collaboration Interest Form