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COVID-19 Research Prioritization:
Request for UCLA Health Resources
General Information
Please enter your 5-digit COVID-19 research prioritization registration number. You should have received your registration number after completing
this survey
.
Title of Project
Principal Investigator Name
Principal Investigator Email
Principal Investigator Department
Principal Investigator Biosketch
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Project Summary
Characters remaining:
4000
Relevance to COVID-19
Characters remaining:
4000
Funding Source/Support Category (check all that apply)
Industry
Grant
Internally Funded
Donor
TBD
Other
Funding Source Name
Is this funding specifically for COVID research?
Yes
No
Research Priority Areas (check all that apply)
Virus Diagnostics
Candidate Vaccines R&D
Environmental Research on Virus Origin
Virus Surveillance
Epidemiological Studies
Engineering-Medicine Collaborative
Infection Prevention & Control
Ethics Considerations for Research
Management Measures at Human & Animal Interface
Health care workers' (HWS) Protection
Social Sciences in the Outbreak Response
Other (please specify)
Clinical Management (Drug, Device, Mental Health)
Type of Research
Human Subjects
Biospecimen and Data Only
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