Bookmark and Share

Fresh & Frozen Specimens

*Asterisk indicates required field.

PI name*  

PI email*   

Secondary contact   

Secondary contact email   

Project title*  (200 character limit.)
 

Cost center*  (Must be a 10-digit number)  
(Outside of UK enter 10 zeros.)

IRB protocol number* (If exempt, enter 5 zeros.) 
Please send a copy of the IRB approval via email: markey.bstp@uky.edu.

Brief research summary*  (750 characters maximum)
 

Primary tumor site:* 

 

If other, please specify (100 characters maximum)  
 

Tissue type (choose as many descriptors as apply using radio buttons; each selection must have a number of needed samples filled out, right next to the tissue type:* 

  

  

  

  

  

Other sample type needed?*      

If yes, please indicate type (choose as many descriptors as apply using radio buttons; each selection must have a number of needed samples filled out, right next to the tissue type:

 

 

 

 

 

Annotated data needed (choose as many descriptors as apply using radio buttons).

                                    

If other, please describe (100 characters maximum):
 

If there are any additional details and instructions, please include them below, or via email, to markey.bstp@uky.edu. (1875 characters maximum)