Application for Biospecimens

Application for Biospecimens

For more information about access to Huntington’s disease biospecimens, please visit the HD Biosample Access page.  For more information about access to Spinocerebellar ataxia biospecimens, please visit the SCA Biosample Access page.  For questions regarding the  NINDS BRAC process please contact NINDS-BRAC@ninds.nih.gov.

 

The Huntington’s Disease Biospecimen Resource Acquisition Committee (HD-BRAC) will review applications received and provide feedback to all applicants.  For more information about the application process, please visit the HD Biosample Access page. For questions regarding the BRAC process please contact NINDS-HD-BRAC@ninds.nih.gov.

You will need to submit the following as part of this web form (accepted file formats are .jpg, .jpeg .png, and .pdf):

  1. Biosketch
  2. Research Strategy (pdf, 38 kb) - (4 page limit)
  3. Table Summary of Samples of Interest (pdf, 153 kb) -  (This should include information on sample availability)

 

 

If applicable, please match the biosample request title to the title for the corresponding existing or planned grant application.
Applicant (Primary) and Institution Information
Institutional Address
Biographical Sketch
Please upload a copy of your Biographical Sketch.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.
Research Strategy (4-page limit)
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.
Project Support
Do you currently have NIH funding to support this research project?
Please indicate the NIH Funding institute (i.e. NINDS) from which you have received funding.
Briefly describe the source of funding to support your proposed project.
If you do not have funding, please explain your plan to apply for funding.
Do you require a letter of support for this application?
Please provide the due date for this grant submission
Table Summary of Samples of Interest
Biosamples/tissue/data requested in a table: In a table, briefly outline the number, type, and amount of biospecimens/tissue requested, including subject type (e.g. HD, control, any specific clinical parameters), visit number (if applicable), volume of sample required, and the cohort or biorepository through which the biosamples are currently available. In addition, the applicant should determine if the samples required are available through the repository prior to submitting an application.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.
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