TYPE OF VA APPOINTMENT Financial conflict ROLE & SERVICE Involved in of interest exists R&D Eligibility (i.e. PI, Co-Inv, (i.e. VA, WOC, lab work for this project (FOR OFFICE USE NAME and DEGREE Research Associate) Contract, IPAA) (yes or no) (yes or no) ONLY)
NAME and DEGREE ROLE (i.e. PI, Co-Inv, Research Associate) TYPE OF VA APPOINTMENT & SERVICE (i.e. VA, WOC, Contract, IPAA) Involved in lab work (yes or no) Financial conflict of interest exists for this project (yes or no) R&D Eligibility (FOR OFFICE USE ONLY)