MORE Analysis Proposal Form

Proposer's name:
Mailing address:
e-mail address:

1) Title of proposal:


2) Please attach a brief summary of your proposal that includes the following:

- hypothesis or research question
- a brief background (why is this analysis important?)
- list the variables to be used in analysis (be specific)

3) Please indicate the following dates if applicable to your proposal:

    Deadline for submission of abstract ____/____/____
    Target date for submission of
    final manuscript to the Steering Committee

4) Who will do the analyses? [ Coordinating Center / Clinical Center ] (circle one)

5) Other investigators who you know will be working on this analysis:





For Publications Committee use
Publication # _______
Publications Committee Approval Date: ____/____/____
cc Approval: SC ___