UTMB FamMed: Request for Collaborators It is the goal of the Research Team to help faculty and trainees develop and foster strong collaborative relationships within the Department and beyond. If you have an idea for a research project and wish to identify potential collaborators, please fill out the form below. First Name Last Name Email I am a... Faculty Resident Student Staff Other... This choice will expand a text box Please provide 3-5 keywords describing your area of study/project I am looking for collaborators in the following role(s)... Check all that apply Co-investigator Literature review, writing Data analysis- quantitative Data analysis- qualitative Participant recruitment Study staff/coordinator Faculty sponsor Other... I am interested in collaborating with researchers from... (check all that apply) The UTMB Department of Family Medicine Other UTMB Departments Texas Medical Center Institutions UT System Institutions Institutions within the State of Texas Local community-based organizations/charities/nonprofits Local school districts or government entities Other... How soon do you plan to begin your project? Immediately Within 6 months Within 1 year Don't know In which setting(s) will your project take place? Clinic Lab Community Classroom Office/online Other... My project already has an IRB Yes No Not applicable Please provide a brief description of the project for which you seek collaborators New code Please type the code above Submit Department of Family MedicineUniversity of Texas Medical Branch301 University BoulevardGalveston, Texas 77555-1123409.772.3126