Basic Information:
Lead Researcher / Primary Contact (☐ check if same as lead researcher)First Name: / Click here to enter text. / Click here to enter text.
Last Name: / Click here to enter text. / Click here to enter text.
Affiliation (if not UCI): / Click here to enter text. / Click here to enter text.
Department: / Click here to enter text. / Click here to enter text.
Position: / Click here to enter text. / Click here to enter text.
Phone: / Click here to enter text. / Click here to enter text.
Email: / Click here to enter text. / Click here to enter text.
If you are already working with a BERD statistician, please provide his/her name: Click here to enter text.
BERD Services Requested:
Biostatistics
☐ Data analysis and interpretation ☐ Manuscript preparation
☐ Poster/Abstract review/preparation ☐ Statistical advice only
☐ Response to reviewers ☐ Other, please specify: Click here to enter text.
Study Planning
☐ Grant/research proposal preparation ☐ Study design
☐ Power and sample size calculation ☐ Choosing type of study (case-control, cohort, trial, etc)
☐ Observational study design: existing data ☐ Observational study: investigator-collected data
☐ Multicenter study coordination ☐ Sample strategy, selection of controls
☐ Recruitment, retention, and logistical issues ☐ Randomization and blinding schemas
☐ Other, please specify: Click here to enter text.
Other
☐ IRB application ☐ Research database design
☐ Data management
Funding Resource: Click here to enter text.
Preferred Start Date: Click here to enter text. Deadline: Click here to enter text.
Additional Information: Click here to enter text.
Fee Schedule
BERD consulting services are offered on a fee-for-service basis generally http://www.icts.uci.edu/service-rates.asp.
• Initial needs-assessment consultation: The first hour is free of charge.
• UC Irvine investigators (faculty, staff or students): $80 an hour.
• Off-campus users of BERD services: $120 an hour (without services/contract agreement).