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Executive Group/Expresssion of Interest_v2

Collaborator's request to access data and/or biological samples from the Born in Bradford study

1. Details of lead applicant

Title Forename Surname Affiliation Email

2. Name(s) of co-applicant(s)

Title Forename Surname Affiliation Email

3. Title of project (less than 30 words)

4. Brief description of project (no more than 2 sides A4 with up to 10 key references)

Please include the following: Background / Research Questions / Methods (including data and/or biological samples required) / Planned outputs / Timescales for completion of the project. Include relevant pilot data and reference the applicants’ previous experience in this area. For a list of available data please consult:

https://borninbradford.nhs.uk/research/documents-data/

Thank you very much for completing this form.

Please send via email to Rosie.McEachan@bthft.nhs.uk and we will contact you as soon as we can.

Expression of Interest

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