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Statistics

Graduate Program

Brigham Young University

Center for Statistical Consultation and Collaborative Research

Personal Information

*Last Name:
*First Name:
*Address:
*City:
State:
Zip:
*Home Phone:
Work Phone:
*E-Mail:

Project Title:

Type of research:

College:
Department:

Is this a new project?

yes     no
Desired Project Completion Date:

If you are a graduate or undergraduate student:

Advisor:
Phone:
E-Mail:

Information affecting cost to clients:

Have Data Been Collected?
yes     no
Will this project result in the submission of an article to a referred journal?
yes     no
Will the Statistics faculty consultant be a co-author?
yes     no
My department will pay non-exempt consultation charges up to:
$ by CPO.

I will pay any non-exempt charges not covered by my department.
NOTICE
Retain a personal copy of your data as a backup.

On-Campus Consultation Record
Phone (801) 422-4244 / FAX (801) 422-0635

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