Center for Research and Scholarship Form

RESEARCH SERVICE REQUESTS

NEW OFFICE LOCATION: Pickard Hall, 1st Floor Room 121 across from the elevators.

Please complete this form ONLY for research related services. Requests that are non-research related will be at risk of not being approved.

Research data requests provided to the Center staff (including GRAs) regarding human subjects must be De-Identified data from the requestor (administrator, faculty or staff). If you have questions, please call 817-272-6734 or email CONHI-SPA@uta.edu.

PLEASE MAKE SURE THAT YOU HIT THE "SUBMIT" BUTTON TO SEND THE REQUEST. Thank you.

Center for Research and Scholarship, a division in the College of Nursing and Health Innovation

Today's Date: Today's Date: * / MM / DD YYYY
Requested Deadline:
FOR POSTER PRINTING, DEADLINE MUST BE 2-BUSINESS DAYS AFTER SUBMITTING A REQUEST Requested Deadline:
FOR POSTER PRINTING, DEADLINE MUST BE 2-BUSINESS DAYS AFTER SUBMITTING A REQUEST * / MM / DD YYYY
Contact Information
Name Name * First Last
Email *
Department *
Phone Phone * - ### - ### ####
Position Status *
Type of Services
I. Literature

I. Literature Retrieval Search
Number of Articles
Printed hard copies Electronic articles Do you use RefWorks?
Upload a File

Attach Files
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II. Data & Statistical

II. Data & Statistical Preparation of statistics section for grant application Data Entry Database Management/Cleaning/Recoding Statistical Analysis Power Analysis Statistical Consultation/Planning Use of Nvivo Software
Upload a File

Attach Files
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III. Question Pro Survey Software (Check all that apply)

III. Question Pro Survey Software (Check all that apply) Develop new survey Modify existing survey
Other
Upload a File

Attach Files
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IV. Research Poster
Please note: The Center will not mail a poster via U. S. Mail Delivery. Each individual requestor must pick up the poster in Pickard Hall, 1st floor, room 121 arranging with a Center staff member. No reprints are allowed. Please allow at least 2 business days to complete the poster request. PLEASE MAKE SURE THAT YOU HIT THE "SUBMIT" BUTTON TO SEND THE REQUEST. Thank you.

IV. Research Poster
Please note: The Center will not mail a poster via U. S. Mail Delivery. Each individual requestor must pick up the poster in Pickard Hall, 1st floor, room 121 arranging with a Center staff member. No reprints are allowed. Please allow at least 2 business days to complete the poster request. PLEASE MAKE SURE THAT YOU HIT THE "SUBMIT" BUTTON TO SEND THE REQUEST. Thank you. Design Printing
Please select where the poster will be used, which will determine paper selection.
Internal (UTA) - name and date of event
External - name and date of event
Please indicate specific poster dimensions.
Upload file in PowerPoint format. Please do not send as a PDF.

Attach Files
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V. Additional Information/Comments

Center for Research and Scholarship Form

Center for Research and Scholarship Form

Contact Information

Type of Services

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