Electronic Form: Carolina Breast Cancer Study Letter of Intent

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Carolina Breast Cancer Study Letter of Intent

Letter of Intent-CBCS Proposal

Letter of Intent Guidelines

The CBCS welcomes proposals from individual investigators to carry out data analyses, ancillary studies and other projects associated with CBCS.

To protect the integrity of the CBCS data, samples, and ongoing CBCS projects, as well as the privacy of the research subjects, proposals for
research must be received by the Principal Investigator and reviewed by the CBCS Steering Committee before the start of the project.

Please use the form to submit your Letter of Intent (LOI).

* Required fields

Name*:

Institution*:

Email*:

Phone*:

Role	Title	First Name	Last Name	Credentials	Email	Phone
Lead Investigator
Lead Author

Submission Date*:

Title of Project*:
Title of Project of CBCS Study Proposal

CBCS Sponsor/Academic Advisor:
If pre- or post-doctoral student or external investigator

Brief Background/Rationale:
The following question should be addressed in your description: What important breast cancer research-related problem is the project addressing?

Proposed Study/Analysis Plan:
Please describe the specific aims of the study, as well as the research question and hypothesis posed, proposed general analytic methods, and any potential use of linked data or biologic specimens or data.

Any Known Overlap With Other Proposed or Ongoing CBCS Studies:

Literature Citations:
Please include up to 15 key references/literature citations.

Funding Sources:

Project Scope:
Check all that apply

Data from CBCS1
Data from CBCS2
Data from CBCS3

Tumor Tissue
Secondary Data Analysis
Blood
Other, specify

Keywords:
Check all that apply

Reproductive History
Body Size
Physical Activity
Alcohol
Smoking
Diet
Medication
Environmental
Genetic
Methods
Epigenetics
Pathology
Tumor Markers
Somatic genomics
Race
Health Services Research
Risk
Survival
Quality of Life
Other, specify