Instructions for Submitting a CTSC Application

Faculty with active, approved IRB protocols may apply for CTSC membership by completing the Application Form below. Note that if you have more than one active IRB protocol, you must submit separate applications for each IRB protocol.

In addition to specifying the PI or co-I named on the IRB protocol, where indicated, you must also indicate the names and roles of key personnel involved in the study (e.g. co-PI, Nurse, Study Coordinator, Nurse Practitioner, Other). SUNY Downstate ID cards of the PI/co-I and key personnel will be programmed to enable swipe card access to the Center during non-business hours. Approved applications grant access to the CTSC for up to six month terms depending on the expiration date of the IRB protocol. CTSC access is renewable by certifying that the IRB protocol on the original application continues to be active.

Please select one of the following options:*
Indicate only ONE protocol per application. If you have more than one protocol and would like to use the CTSC as a resource for other IRB-approved studies, you must submit separate CTSC applications. All protocols must be active at the time of submission of a CTSC application.
Indicate the title that best summarizes your IRB-approved study
Do not submit applications in which IRB approval is pending.
Please cut and paste abstract for the IRB protocol referenced above
Is the approved IRB study funded
If you checked yes above, please indicate funding source
Is this a clinical trial
PI or co-I named on the IRB protocol indicated above:
Personnel & Roles
What is the role of the person named above?
In the box, please provide the names and roles (e.g. John Smith, Study Coordinator) of all key personnel named on the IRB protocol who will need access to the CTSC once this application is approved. Examples include Study Coordinator, Nurse Practitioner, etc. Note: all are required to have CITI training.
In the box, please identify ONE person named in the previous question who should be listed as a Contact Person whenever your name appears as the Research Investigator on the scheduling calendar. If you prefer to be named as the Contact Person, simply add your name to the box below Be sure to include the Contact Person's phone number at Downstate.
What items will you require?
Please indicate CTSC facility resources and services needed by checking all that apply in the list. Note that all subject rooms have a desk and three chairs. If something you need is not listed, please indicate that in the Other text box below. We may be able to help locate items that you will need.
Will you need to store biospecimens in the CTSC freezer (e.g. blood, urine) obtained from subjects (note that we allow storage of specimens in our -20 freezer for up to 24 hours)?
Do you anticipate needing access to the CTSC after regular business hours? (later than 5:00 PM)
Scheduling & Access

Once your application to use CTSC space has been approved, we will direct you to an on-line application where you can request access.

Questions? Contact Dr. Richard Coico, CTSC Director.