Required NIH Reporting HU CFAR Member Information

Form Login Account (optional)

New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form. The account you establish is only for this form.

I am an existing HU CFAR Core User.

Select your name and skip to the next section (lists are alphabetical by last name).

Last names A through K

Last names L through Z

Please complete the following HU CFAR Member Information only if you are not on the Core User list provided above.

* First Name

* Last Name

* Email Address:

* Your Research Location(s) (City):

* Institution Affiliation:

If Other, Please list Institution:

* Investigator Level: Please select one

NIH Independent Investigator (AIDS R01 funding or higher)	NIH Independent Investigator (Non-AIDS R01 funding or higher)
NIH New Investigator (NIH funding but not at the R01 level)	Faculty member with no history of (non-CFAR) NIH funding
Post doc or Research Fellow	Undergraduate or Graduate Student
Lab Staff or Community Member

* NIH Special Emphasis Category: Please select any that apply

Current recipients of Developmental Core awards, salary support, mentoring, and/ or other services

Current recipients of NIH Administrative Supplement funds

Member of an Underrepresented Group in Research (African Americans, Hispanics, American Indians, Alaska natives, native Hawaiians, Pacific Islanders)

Woman

None

* Provide a brief description or key words that describe your research area and research interests.

* Indicates Response Required