Membership Application

Before submitting your application, carefully review the center's membership requirements. Application for membership is voluntary. By submitting this application, you are indicating fulfillment of the center's membership requirements and agreement with the center's basic objectives.

As you complete this form, be sure to fill out all required fields (indicated by an asterisk) and to attach all required documents. Once you submit your application, it will be reviewed by the relevant program area director(s) as well as the center's leadership team. If you have questions, contact us.

Contact Information

* Name:
Title:
* Organization:
* Address 1:
Address 2:
* City:
* State:
* Zip:
Phone:
* Email:

Membership Type

Academic Commercial

Areas of Interest (select all that apply)

  • Basic Research
    • Computational biology
    • Microarray analysis
    • Proteomics
    • Phenotyping
  • Translational Research
    • Pharmacogenomics
    • Microarray diagnostics
    • Microarray therapeutics
  • Services
    • Secure and HIPAA-protected data
    • Biological specimen storage and tracking
    • High-performance computational facilities
    • High-availability data storage
    • Web-based protocol management
  • Commercialization Core
    • Access to venture capital

Initial Project Information

* Title:
Sponsor:
Collaborator(s):
* Short Description:
* Long Description:
Attach a Microsoft Word or text file (.doc, .rtf, .txt) that describes the scientific origins and objectives of the project, as well as the project's commericalization potential. No more than eight pages, please.

Questions/Comments

Type questions about the center and/or any additional information about you or your interest in the center.

The Center