UCSD SMADRC Resource Request Form

General Information

**Receiver must be the lab PI**

PI (Receiver) Name

PI (Receiver) Email

Requester's Name

Requester's Email

Is the PI from a historically underrepresented or marginalized group?

Do the research aims target historically underrepresented or marginalized groups?

Please indicate which of the below best describe the funding (please choose one):

Is this request being made pre-award or post-award?

Is this request internal or external to UCSD?