The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

hnsrBSceHYMerDbYzh63YAkWzb3mMBwzMCm9xQKKjzCec4TDpktiqt6XgSREnS5dVtfnaY8yRDInegZRkQ4ToNNTKqWtEd

Basic Demographic Form

This survey is to submit a Letter of Intent to apply for the Team Science Champion Award funding opportunity. The LOI should include a summary of the proposed project and a description of the investigative team, including their discipline/department and contribution to the team. Please complete the short survey below and upload your Letter of Intent.

All applicants will be required to obtain consultations for informatics/statistics, digital health, and rural research if collaborating with the TRI Rural Research Network. We will assist you in getting those consultations based on your responses below.

Thank you for your interest in applying for this opoortunity!

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To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.