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* 1. Please enter your contact information (Name, Email & Position)

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* 2. Is this a follow-up to a previous consultation?

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* 3. Please provide a brief description of your project including the number of variables and response type (eg., categorical or continuous):

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* 4. Describe why you are requesting statistical support:

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* 5. Provide deadline if applicable (Grant Submission Deadline, etc). Please note - Requests will be processed in the order they were received so please be sure there is sufficient time in advance of any important deadlines.

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* 6. Please add any additional information you feel is relevant:

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