First Name : Last Name:

Today's Date: Email:

Please describe how your current research relates to the focus and specific goals of the Ceneter for Biobehavioral Clinical Research (CBCR).

How do you envision your affiliation with the CBCR will facilitate or advance your research program?

Please describe specific CBCR resources or services you would envision using within the next 2 years.

Please describe your vision of how you will contribute to the mission of the CBCR.

Please paste your current NIH-format Biosketch below.