New Research Registration

Please register your research project with MNC. After completing this form, you will be emailed a Research ID which you will need to complete the Scheduling Request Form in order to reserve use of the MRI, Mock or MNC rooms.

New Research Registration

Principle Investigator

UMD Email

Phone Number

IRB Number

IRB Title

IRB Start Date

IRB End Date

Workday Spend Worktag

Working Title

A 3-4 word title to easily identify your study at the MNC. Ex: The study entitled ‘Behavioral and Magnetic Resonance Imaging Studies of Emotion and Cognition’ would have a working title ‘Emotion and Cognition’.

Department and College

Financial Administrator for Project

Name

Title

Department and College

Phone Number

Email

Lab Manager / Person(s) Managing Subjects at MNC

Name

Title

Department and College

Phone Number

Email

Additional Contact

Yes

Name

Title

Department and College

Phone Number

Email

Description

An optional description of the study so it may be added to the “current research” page.

Question/Comments

If you are human, leave this field blank.