Research Recruitment Application

Investigator Background and Qualifications (i.e., Education, research experience, etc.)

Please include an abstract (not exceeding 250 words) including: title, aim and rationale, name of primary investigator, and contact information, that will be placed on the NSA’s web page. The abstract may serve to inform and recruit prospective participants.

When do you expect to begin your research, and what is its expected duration?

This must include descriptions of the data collection tools to be used including informed consent procedures.

This must include descriptions of data collection tools to be used including informed consent procedures.

Please explain how the confidentiality of research participants will be protected, including procedures to permanently remove any links between research data and participant identity after the study is completed.

If yes, please explain. Otherwise, simply indicate 'no'.

If yes, please list: PI, funding entity, and duration of funding.

(Check all that apply)

Include any potential benefits to be gained by the NSA for promoting the proposed study. (i.e., create informational material to be distributed at the NSA Conference, acknowledge NSA in subsequent publications and/or presentations)

Type Yes or No.