Research Directory Submissions

Please complete this form by April 30, 2014. If you have any questions regarding the form, please contact Jeff Johnson, (senior communication specialist in the Office of Institutional Advancement), at extension 5805.

Research Fundraising Directory Submission

This form has been created to collect information about you and your research so that the Office of Institutional Advancement can create a "Research Directory" to present to Development Board members and other potential donors. Your thorough and speedy completion of this form will help us raise money to fund your research.
  • Your contact information will not be shared with the general public. We need to be able to reach you if we have questions about your submission.

  • Please list your post-graduate academic credentials - including degree title, major area or study, name of institution, location of institution, and year granted - along with any board certifications you hold. One degree or certification per line, please. Example: Ph.D. - Microbiology - University of Texas - Austin, Texas - 1994
  • Date Format: MM slash DD slash YYYY
    Please indicate the date you began working for UT Health Science Center.
  • Please describe in layman's terms your current areas of research. For example, "pulmonary fibrosis" should be described as "scarring of the lungs." This information is being gathered for dissemination to non-medical audiences. Please start a new paragraph for each unique area of research.
  • For each of the areas listed above, explain the current status of the research. We need to know if you consider your research to be in its beginning stages, mid-point, near completion, ready for clinical trials, etc. If you can offer an expected month and year of completion, please do so.
  • For the research areas listed above, please describe your funding priorities. For each unique area of research, list the amount of money you need to continue or expand the research, what - specifically - the money would be used for (personnel, equipment, specimens, supplies, etc.). Also, please identify any individuals or groups you are aware of that might be potential funding sources. (Perhaps friends, relatives, acquaintances, or business associates who have expressed an interest in your work.)
  • Please list any additional information about your work that you feel would help us best represent you to potential donors. Please remember that - in most cases - non-professional funding sources give because of an emotional connection to the recipient researcher or institution. If you have a great story about a patient whose life was saved, extended, or improved as a result of your research, this is the place to share that story!

If you have any questions regarding the form, please contact Jeff Johnson, senior communication specialist in the Office of Institutional Advancement at extension 5805.

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