Core Service Reporting Form

Member Information

I used HU CFAR Core Services in the last year.
Select your name and proceed to the next section (list is alphabetical by last name). If your name is not on this list, please leave blank and skip to the next question.
Please complete the following HU CFAR member information only if you are not on the Core User list provided above.
Investigator Level: Please select one *
NIH Special Emphasis Category: Please select any that apply *