Tulane Cancer Center Space Request
Applicant Information
Applicant Name
(Required)
First
Last
Terminal Degree
(Required)
First
Academic Rank
Department
School
(Required)
First
TCC Research Program
Cancer Biology
Translational Oncology
Genes X Environment
Cancer Population Sciences & Disparities
Office Phone
Cell Phone
Email
(Required)
Enter Email
Confirm Email
Current Office Location
Current Laboratory Location
Number of Benches
Number of Rooms
Do you have any other space outside of TCC assigned to you?
Yes
No
If yes
Office
Laboratory
Office Location
Lab Location
Which Tulane Cancer Center Building are you interested in?
JBJ 3rd Floor
LCRC 7th floor
LCRC 8th Floor
I certify that the statements herein are true, complete, and accurate to the best of my knowledge.
(Required)
Personnel & Space Use
Personnel: Include all research and support staff and students
Personnel Details
Name
Title/Academic Rank
% Effort or h/wk*
Source of Support
Location
Office/Lab
Add
Remove
*Indicate if graduate students are pre or post-prelims. h/wk is approximate for undergraduate and graduate students.
Personnel # 1
Name
Title/Academic Rank
Professor
Associate Professor
Assistant Professor
Instructor, Postdoc
Graduate Student
Fellow
Resident
Undergrad
Visiting Scholar
Staff
Other
Grad Student
Pre-Prelims
Post-Prelims
% Effort or h/wk*
Source of Support
Location
Office/Lab
Add more personnel?
Yes
Personnel # 2
Name
Title/Academic Rank
Professor
Associate Professor
Assistant Professor
Instructor, Postdoc
Graduate Student
Fellow
Resident
Undergrad
Visiting Scholar
Staff
Other
Grad Student
Pre-Prelims
Post-Prelims
% Effort or h/wk*
Source of Support
Location
Office/Lab
Space Use and request
Describe how you use your research space to accommodate your personnel, laboratory equipment, and to perform experiments
With whom else do you collaborate? (Special interest with collaborations with TCC members in other research programs.)
Provide rationale and justification for change in laboratory space assignment (include information on new grants, equipment, and/or personnel)
Other Considerations
Current Research Projects
Max. file size: 100 MB.
Upload your attachment here identifying your current research projects or fill in the field below
Identify current research projects and describe their relevance to cancer. (limit one page, can be a separate attachment.)
Publications
Max. file size: 100 MB.
Attach your current NIH Biographical Sketch See sample:
https://grants.nih.gov/grants/forms/non-fellowship-biosketch-sample-2021.docx
Financial Support
Max. file size: 100 MB.
Attach your current NIH-formatted Other Support Page See sample:
https://grants.nih.gov/sites/default/files/other-support-format-page-rev-10-2021.docx
I certify that the statements herein are true, complete, and accurate to the best of my knowledge.
(Required)
Yes
Signature
(Required)
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