Human MRI Research Project Application Form

Before submitting a new project, please read the respective infrastructure usage fees and access policies at this link.
Thank you for your interest in contributing to the CIBM community.

Agreement

I have read the infrastructure access policy and guidelines and I understand the fee structure associated to this project application.

I have read the 7T collaboration policy.

Principal Investigator information

Principal Investigator first name

Principal Investigator last name

Principal Investigator's e-mail

PrincipaI Investigator's phone number

PI's Institution PI's Institution

PI's Laboratory/Unit

If Applicant is not PI

Applicant first name

Applicant last name

Applicant's E-mail

Applicant's phone number

Resource information

Please select resources requested

Number of hours (0.55T MRI, CHUV RAD)

Number of hours (7T MRI, Campus Biotech HNP)

Number of hours (3T MRI, CHUV RAD)

Number of hours (3T MRI, HUG RAD)

Number of hours (3T MRI, UNIGE BBL)

Project Information

Ethics information

Project description

Billing

Account number (if known)

Billing address of the PI

City

State/Province

Zip/Postal

Country

CAPTCHA

If you are human, leave this field blank.

Principal Investigator information

Resource information

Project Information plus4 minus4

Ethics information plus4 minus4

Project description plus4 minus4

Special requirements and services plus4 minus4

Billing plus4 minus4

Project Information

Ethics information

Project description

Special requirements and services

Billing