Preparer Support

Please complete the following to request assistance with preparing your proposal:

Person Submitting Form: * First and Last Name

E-mail of Submitter: * MedNet or UCLA Email

Is the person filling the form the UCLA PI for this request? *

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What do you need support or assistance with? *

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Which of these best describes your request? *

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PI Name * First and Last Name

Principal Investigator E-mail * Use MedNet Email

Sponsor Name * List PTE if Subgrant/Subaward

Sponsor Deadline *

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Use PTE deadline if subgrant/subaward

Attach Funding Announcement *

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Provide PTE Instructions if Subgrant/Subaward

Provide details or additional information as needed: