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Division of Biostatistics & Bioinformatics Service Request Form

To arrange for a consultation, please complete and submit this Service Request Form.

Date of Request

Y-M-D

First Name

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Last Name

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E-mail Address

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Check here if same as above

First Name

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Last Name

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Institution

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Please specify other institution

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Jefferson College/School/Institute

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SKMC Department

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Medicine Division

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JCHP Department

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JCP Department

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JCRS Department

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Other Department / Division

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Address (line 1)

Address (line 2)

City

State

Zipcode

Telephone Number

Email address

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Is the PI a member of the Sidney Kimmel Cancer Center?

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SKCC Program

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Type of Request

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Does your project involve of any of these types of data?

Single-cell RNA-seq
Single-cell multimodal omics (CITE-seq)
Spatial transcriptomics
Bulk RNAseq
ChIP-seq
DNAseq (Exome-seq)
Systems biology
Integration of large multi-omics data

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Type of data analysis/sample type

Single-cell RNA-seq

Single-cell multimodal omics (CITE-seq)

Spatial transcriptomics

Bulk RNAseq

ChIP-seq

DNAseq (Exome-seq)

Systems biology

Integration of large multi-omics data in-house and/or public data

New method/algorithm development

Other consultations; please describe the type of assistance you need

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Funding Agency

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Submission Deadline

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Y-M-D

Is this request for assistance with analysis/management of data from human subjects?

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The project's PI must provide Biostatistics a copy of the IRB approval letter. In addition, data transferred to Biostatistics should not include any private health information identifiers.

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Project Title

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Brief Description of Project

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Do you have a submission deadline?

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Please provide any information on deadline

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Are you requesting a consultation with a specific faculty or staff member?

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POLICIES:

Initial consultations are provided free-of-charge. These consultations are for no more than one hour and do not include data analyses.
Any consultations other than the one-hour courtesy consult are on a fee-for-service basis. Currently, the rates for Jefferson researchers, members of the Sidney Kimmel Cancer Center, and researchers at Wills Eye Hospital are $144 per hour for faculty and $92 per hour for consulting unit staff. The rates for non-Jefferson researchers are $173 per hour for faculty and $111 per hour for consulting unit staff. An estimate for the total cost of the consultation can be provided upon request.
The consulting fee is waived for work on grant and contract proposals and investigator-initiated protocols if Division personnel are included in the proposed budget.
Consulting fees may be waived for members of the Sidney Kimmel Cancer Center when their work is not extramurally supported. Any publications must acknowledge the support of Cancer Center Support Grant 5P30CA056036-17 and the SKCC Biostatistics, Bioinformatics, and Research Informatics Shared Resource.
Decisions regarding authorship for faculty or staff on any publications or presentations resulting from consultations with the Division of Biostatistics & Bioinformatics should be considered independently of funding.

I have read and agree to the above policies concerning fees and authorship. I understand that I will be billed quarterly for any hours for which the consulting fee is not waived in accordance with the policies above.

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