USA / About Us / Grants / Investigator Initiated Studies (IIS) Grant Request

Grants

Investigator Initiated Studies (IIS) Grant Request

Thank you for contacting us about your interest in conducting research. Please complete the requested information below, which will help us review and evaluate your proposal. Include any additional material you feel will support this request.

For the initial review you will be asked to provide your contact information, affiliation, and a summary of your research proposal which must include the following information:

Study objective
Type of support requested

If a protocol and/or abstract has already been written, it may be included with the submission (optional).

Please provide a summary of your research objective below: * Required

Date * Required

Investigator Name * Required

Investigator Title * Required

Requestor Name (if different from Investigator)

Requestor Title (if different from Investigator)

Institution/Affiliation * Required

Address * Required

Country * Required

Investigator Phone Number:* Required

Investigator E-mail Address * Required

Requestor Phone Number:* Required

Requestor E-mail Address * Required

Associated Teleflex Product* Required

Type of Support Requested

Please indicate the type of support requested (click all that apply) * Required

Monetary

Teleflex Product (must attach estimated quantity)

Other

Optional Attach Documents: (i.e. protocol, abstract, detailed budget, publications, approvals)

Attachments more than 20 MB may have trouble transmitting successfully. If your total attachments size is greater than 20 MB, please contact rdg.clinical.research@teleflex.com

Please enter your email here to receive confirmation of your submission
If you do not receive an email after submitting please try again or contact rdg.clinical.research@teleflex.com directly.