The form templates are available here so that the requestor may become familiar with the information which will be requested on web request forms. The templates are not editable and cannot be used to submit a request. You may submit a request from our list of Currently Available Collections.

* indicates required field

Request Identifier
Create a nickname for your reference
Requestor Information

Support Information
Approximately how many years has the lead investigator been involved in scientific research?
If funding is not yet available, please indicate anticipated primary funding source.
Request Details
Please select the studies you would like to request. If requesting SWAN, that is the only study you may request.
A brief overview of your research needs.
Include the participants inclusion/exclusion criteria, study visit periods, key analytic variables, primary and secondary outcome measures, follow-up period if applicable, and planned statistical methods. Inadequately described request may be deferred until a complete/ satisfactory description is provided.
A "Yes" response defines this as a "Commercial Purpose" request.
Study data must be maintained in a secure and controlled environment
e.g. Amazon Web Services, Microsoft Azure, Google Cloud Platform / what tools will be used and how these tools relate to the project