Get Project Intake Form

Filling out the Project Intake Form online is essential for initiating research projects. This guide will walk you through each step, ensuring you provide the required information accurately and efficiently.

Follow the steps to complete the form with ease.

1. Click the ‘Get Form’ button to access the Project Intake Form and open it in your preferred online editor.
2. Begin by entering the date of research intake in the designated field. This helps establish the timeline for your project.
3. Fill in the principal investigator's information, which includes their first name, last name, credentials, phone number, and email address.
4. Indicate the institutional service line affiliation. This helps to understand where the project fits within the organization.
5. Answer whether the investigator is employed by a Spectrum Health Entity by selecting 'Yes' or 'No'.
6. Provide the name and email address of the person at Spectrum Health who is endorsing the scientific merits of the project.
7. Complete the project information section by entering the name or title of your project and providing a synopsis or attaching a protocol or abstract.
8. Specify whether this is a cooperative group or a national consortium developed project by selecting 'Yes' or 'No'.
9. Indicate if the project is industry sponsored or non-industry sponsored.
10. If the project is sponsored, provide the sponsor's name.
11. Describe the value of the project to patients and their families in the corresponding text field.
12. State whether the project offers an alternative to routinely available care by selecting 'Yes', 'No', or 'Unknown'.
13. Discuss how the project aligns with your department or division’s research strategy or goals.
14. Indicate if you anticipate the project will result in a publication or presentation by selecting from 'Yes', 'No', or 'Unknown'.
15. Clarify whether you will need staffing support from the Office of Clinical Research Operations.
16. Identify the type of project as either research or non-research and specify the research type if applicable.
17. Estimate the number of subjects anticipated for enrollment and confirm if you have the population to meet this goal.
18. List any ancillary services that may be involved in the study, or select 'No ancillary services are anticipated'.
19. Confirm if there will be any collaboration with other departments or divisions within Spectrum Health.
20. Make any additional comments or provide further information as needed.
21. Once all sections are complete, review your entries for accuracy. You can then save changes, download, print, or share the form as necessary.

Start filling out your Project Intake Form online today to facilitate your research initiatives.