Date:

Title of Proposed Project:
XXX

Investigators:
X, Y

Investigator Institutions:

Contact e-mail:

Concept Description:
Please provide a concise description of Background/Preliminary data/Aims, as well as the DCCC work-package number (if available)

Keywords:
Please provide a few words indicating the topic area of the proposal

Primary Endpoints:

Secondary Endpoints:

Clinical/pathology data:
Please indicate if and what the clinical and pathology data are to be investigated

Omics data required for project:
Please indicate if any type of genome/transcriptome/methylome are included.

Additional Requests:
Please specify.
This part of the form is for future discussion

Analysis Plan:
Please include power considerations, if applicable.

Budgetary considerations, if applicable:

Writing committee and authorship agreements:

Timeline:

Resources to be dedicated to project: