Data-Sharing Request Form

DUKE CENTER FOR IN VIVO MICROSCOPY (CIVM) DATA-SHARING REQUEST FORM First, see if our Shared Data already available from one of our publications will meet your needs. We are delighted to share our data with you. CIVM is fortunate to receive major funding from the NIH / NIBIB. They request that we provide lists of researchers using our data and how it is being used—so please fill out this form. In submitting this request, we understand:  That you will not release this data to 3rd parties; you will not use it for commercial purposes; and you will acknowledge CIVM (and our grant numbers P41 EB015897, and if MR 7T / 9T data 1S10OD010683-01) in any publications. We will let you know if other grants also apply. We would love to have copies of any publications generated using the data. Send to [email protected]. Please contact the Director of CIVM, Dr. G. Allan Johnson ([email protected]), with any technical questions.

DATE submitted:

TYPE OF DATA – describe in as much detail as possible, so we can supply the data you need

YOUR PURPOSE FOR USING THE DATA

FIGURE from a PAPER or DATA from the study associated with one of our manuscripts (not available through our Shared Data) Authors Journal Reference Figure(s) Other information FORMAT or ANY SPECIAL NEEDS

INVESTIGATOR(S) Name Institution / Department Investigator Address E-mail Phone Name Institution / Department E-mail Phone Co-Investigators Name Institution / Department E-mail Phone

GRANTS that this data may aid Grant # Grant # Grant Agency Grant Agency

METHOD (someone from our technical staff will contact you for best way to share data with you, but let us know about any methods you prefer)

You need help using the data or with methods / software to analyze the data DUKE CENTER FOR IN VIVO MICROSCOPY (CIVM) DATA-SHARING REQUEST FORM

Correspondence or miscellaneous data-sharing detail: