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ACTIVE
Please explain why
Income
For any for-profit organization, did you recive in the last 12 months or do you expect to receive, months, salary, or other payments for other intellectual property; or other direct payments exceeding $5,000?
Yes
No
Question here
Description here
Enter Your Name
Name
Yes
No
Second
From any privately held organization, do you have stock, stock options, or other equity interest of any value?
Yes
No
Payments for Services
From US educational institutions, US teaching hospitals or US research institutions affiliated with US educational institutions: Did you receive in the last 12 months, or do you expect to receive in the next 12 months, payments for services.
Yes
No
Second
From any privately held organization, do you have stock, stock options, or other equity interest of any value?
Fishing
Baseball
Painting
Hobbies
Pick your hobby from below
Fishing
Baseball
Painting
Hobbies
Pick your hobby from below
Unit(s)
Table View
Person
Home unit
Email Address
Research Role
McGregor, Jeff
Emergency Services
McGregor@test.com
Administrator
Samesoneite, Sarah
No item selected
SarahSameson@test.com..
Principal Investigator
Johnson, Larry
Emergency Services
J.Larry@test.com
Administrator
Football
Rodeo
Code (4 Digit Code)
45Y1
Is this a Pilot or Limited Term course?
Yes
No
Yes
No
State/Province
From any privately held organization, do you have stock, stock options, or other equity interest of any value?
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