Healthcare Professionals | Resources | GRANT Requests | Research RequestResearch Request Please complete the research application form below. Globus will review the application and be in touch regarding approval. Principal Investigator Name(s), Institution, and Address*Is This Request For Internal Research At MERC or External Research?InternalExternalIf External:Where will it occur?Requesting funding?*YesNoAmount*Which Globus and Non Globus Products Does This Involve?GlobusNon GlobusPlease describe the proposal in two or three sentences (provide some detail):Is protocol included with this applicaton? Please attach.YesNoFileApproximate date protocol will be submittedDo you need help from Research to make protocol?YesNoIf requesting external funding, please include a budget justificationAre there any publications relating to this project?YesNoWhat are they?Is your intent to publish this material?*YesNoIf there was one differentiating aspect of this research, what would it be?