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UCSF-Gladstone Center for AIDS Research (CFAR)

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Account Information

After you create your account, it needs to be reviewed by CFAR staff. You'll receive an email confirmation when it's approved.

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Confirm e-mail address * Please re-type your e-mail address to confirm it is accurate.

Personal Information

First Name *

Middle Initial Please add a period and space after initial, i.e. "M. "

Last Name *

Degree(s) Make sure to add a ", " before the first degree, i.e. ", PhD, MD"

Title/Affiliation Use format: Title, Institution, e.g. Co-Director, UCSF Center for AIDS Research or United States Global AIDS Coordinator, United States Department of State

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Short Bio

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Phone

NIH- and UCSF-Specific Information

We are required to report this limited demographic information to NIAID for all CFAR program participants, including grantees, mentors and mentees, core service users, committee members, and event attendees. It will be treated as confidential by our staff.

Demographic Information *

Woman

Identify as: African American, Alaska Native, American Indian, Hispanic, Native Hawaiian, Pacific Islander

Not applicable

I have received direct NIH funding as a PI or PD (CFAR funding is excluded) *

Yes

No

Not applicable

I have direct received NIH funding at the R01 or R01-equivalent level (R01 equivalents include R01, R23, R29, R37 and, after 200 *

Yes

No

Check all that apply: *

I have been the PI on an R01 equivalent grant in HIV/AIDS

I have been the PI on an R01 equivalent grant in areas other than HIV/AIDS

Location

Other Location Other Location if not listed above

Link CTSI Profile *

Profiles URL

Employee ID

Not applicable

We request either the link to your CTSI Profile or you 9 digit UCSF employee ID so we can connect your profile to the UCSF Profiles system.This will automatically pull in your department, location, and other information. Leave blank if you are not a UCSF employee or do not have a CTSI Profile

CTSI Profile URL

URL

UCSF Employee ID

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