CPCTR

Name (required):

Street Address:

City:
  State:   Zip:

Phone:

E-mail (required):

Type of TMA requested (i.e. TMA 4 Ethnicity)

Total number of array sets requested (Each array set consists of four slides from two replicate TMAs of two blocks each. Each prostate cancer is represented by 2 samples on each of the replicate sets.)

Provide scientific and statistical justification for the number of array sets requested

Provide a statement of the aims/hypotheses of the proposed research:

Provide a description of the technical approach, the measurement techniques/reagents - have the specific techniques and reagents been used in paraffin-embedded sections? If so, has the data been published (provide citation)?

Background information about the marker(s) to be evaluated - describe the marker, how it was discovered, why it was selected for testing and any appropriate publications

Specify the clinical and/or outcome data required:

Provide a brief biosketch. If it exists online, please enter the URL. If not, copy and paste into the box, or email a file to the project manager