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Please complete and submit the form below to enter your application to the grant program.

* Required field

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 Yes
 
 No

 

Job Role

 
 CEO / COO / President
 Vice President
 Dept Head
 Principal Investigator
 Medical Doctor
 Director
 
 Post-doctoral fellow
 Scientist / Associate Scientist
 Student / Graduate
 Research Assistant / Lab Technician
 Lab Manager
 Purchaser / Procurer
 Educator

Techniques

 
 qPCR / Real-time PCR / qRT-PCR
 Sequencing Next Generation DNA
 Digital PCR
 DNA Sequencing
 
 Cell Imaging
 Virus Isolation
 Mass Spectrometry
 Nucleic Acid Purification and Separation

Applications

 
 Biomarker Discovery
 Peripheral Blood Monitoring
 Genotyping and Genetic Variation
 Environmental Testing
 Epigenetics / Epigenomics Analysis
 Food and Beverage Testing
 Forensics / Human Identity
 Gene Expression / RNA Analysis
 
 Cloning
 Imaging & Microscopy
 In Vivo Research
 Plant Research
 Protein Analysis / Proteomics
 Protein Expression / Production
 RNAi
 Stem Cells

 

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 Less than 10
 
 10 to 20
 
 20 to 40

 

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 Yes
 
 No (if no, please answer next question)

 

If you checked No, by when do you expect the research samples to be ready?

 
 They are ready-to-go right now
 In May 2015
 
 In June 2015
 After June 2015

 

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 Yes
 
 No

 

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 Blood plasma
 
 Serum
 
 Other
 

 

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 Yes, FFPE tumor samples
 
 Yes, fresh/frozen tumor samples
 
 Yes, Other
 
 No

 

Please select the targets that you are interested in analyzing for your samples:*
Note: Hold down Ctrl to multi-select or deselect a mutation.

 

 

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 Next generation sequencing
 
 Real-time PCR
 
 Digital PCR
 
 Other
 

 

 
 
 Yes
 
 No

 

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**Applications that include personally—identifiable information or patient data, or that propose to disclose personally-identifiable information or patient data, will be excluded from consideration for participation in the Program.

 

Terms and Conditions
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 I understand that by submitting my application I agree to all the terms and conditions** of this Grant Program. I also understand that if I am selected as a winner, I consent to being available for additional promotional activities related to the grant program, as described in section 5 of the terms and conditions.

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