Delaware INBRE and Wilmington VA Medical Center Research Collaboration Interest Form

As a DE-INBRE affiliate, Wilmington VA Medical Center (WVAMC) is in position to help Delaware INBRE catalyze biomedical research across Delaware and beyond.

This form is intended to be completed by Delaware INBRE associated faculty/investigators with an interest in conducting research with/on behalf of Veterans in Delaware. Responses to the form are reviewed and considered by the Wilmington VA Medical Center’s Research & Development Committee. This Committee is responsible for oversight of Veteran research program and approves research conducted at or in partnership with Wilmington VA Medical Center and its Community Based Outpatient Clinics.

Before completing the form if you have any questions, please email VHAWIMResearchAdmin@va.gov and use “DE-INBRE Collaboration” in the email subject line.

WVAMC Collab Form Nov 2024

Name

First

Last

Title

Applicant Institution

Applicant College/Department/Unit etc.

List up to three (3) keywords that describe the primary focus of your research:

Briefly describe the research emphasis or area of interest: the goals of the research; basic design of the proposed research etc.

Describe how your proposed research will help veterans:

What is the funding status of this research?

Please provide any additional information here:

If you are human, leave this field blank.

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