SELCoH Project Application Form

Last name
Is the data required for a MSc or PhD project?
Which programme or department are you affiliated with?
Preferred email address (please use KCL, SLaM or NHS email addresses for any communications regarding SELCoH)
Please state the date you expect to complete your dissertation / thesis
What is the working title of your paper?
Provide a brief background for the project and short description of paper aims / hypotheses
What are the study aims?
What are the study hypotheses?
List of explanatory variables requested
List of outcome variables requested
Which dataset do you require? SELCoH 1, 2, 3
Are you requesting a blood or saliva sample?
Name(s) of Research Ethics Committee(s) and REC reference numbers: View Guidance Notes
Please provide the names of any co-authors (tbd if not currently available)
Please provide the Name(s) and address(es) of supervisor(s) or PI(s)
Brief description of methods
Sample inclusion/exclusion criteria
Description of data handling
Is access to biomarkers required (Y/N)? If Yes, please specify
Is selection on biological variables required (Y/N)? If so, please specify
Will you request BRC Genomics and Biomarkers staff support for genotyping or other measures (Y/N)?
Use of SELCoH data requires adherence to the Data Transfer and Confidentiality Agreement. Please note here that you have read and understood these requirements, as outlined in the Guidance Notes. View Guidance Notes
Please read the SELCoH Publication Policy (see Guidance Notes) and note here that you have read and understood the policy. View Guidance Notes
Please read the Data Handling, Data Redeposit and Data Storage Agreement (see Guidance Notes) and note here that you have read and understood these requirements.View Guidance Notes
If applicable, read the Blood Protocol (see Guidance Notes) and note here that you have read and understood the protocol. If not applicable, input NA.View Guidance Notes
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