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Thank you for your interest in Cornell University’s Division of Nutritional Sciences Human Metabolic Research Unit (HMRU). The purpose of this Intake Form is to both help us gain an accurate sense of how researchers plan to use the HMRU, and also to help further your research objectives. You will be contacted after this form is reviewed. Thank you.
Your Title:
Assistant Professor
Associate Professor
Full Professor
Research Scientist
Postdoctoral Fellow
Graduate Student
Other
Your Email Address:
Your contact phone number(s):
Office
Mobile
Laboratory
Study Title:
Study Nickname (8 characters or less):
Proposed Start Date (MM/DD/YYYY):
IRB # and Title (if approved):
Target Journal for Submitting Research:
Funding Source (if N/A, see below:)
Account number to be charged for the study:
Rooms you wish to use (Check all that apply):
Kitchen
Dining Room
Ward
Consultation Room(s)
Exam Room (Ultrasound)
Exercise Physiology Suite
DXA Suite
Research procedures needed for your study (Check all that apply):
Anthropometrics
NDSR Software Use
Feeding Component
Urine Pregnancy Test
Capillary Blood Collection (finger-stick)
Venipuncture
OGTT (Oral Glucose Tolerance Testing)
Subcutaneous Fat Biopsy
Muscle Biopsy
Ultrasound (Transvaginal/Transabdominal)
DXA Scan (Body Composition only)
Exercise component (treadmill, bike, etc)
Name and Email for Students and Research Assistants who you intend to have assist with your experiment:
Thank you again for providing the above information. If you are not the faculty supervisor on this project, please remember to alert him/her/them that they will be receiving an email requesting that they verify the content of this intake form.
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