Michigan State University CSTAT

CLIENT INFORMATION FORM

* indicates a required field.

Date

2008-08-28

Last name*

First name*

E-mail*

Phone*

Address

Fax

How did you hear about us?

Preferred consultant or one you have had in the past

Department*

College*

Status*

Faculty	Post-doc	Research Staff
Ph.D. Students	Masters Student	Undergraduate
Outside MSU

MSU students (only)
A brief report on your consultation will be sent to you and your advisor. By requesting this consultation, you are indicating that you understand that a report on this consultation will be provided to your advisor.

Advisor name

Advisor email

Outside MSU (only)

Check the category then give details.

School		Government
Business		Other

Support
Initial consultations are free. To help CSTAT document our productivity, we need to know if we are providing assistance to grant supported work.
*Are you requesting help with work that is currently grant supported?	Yes No
If yes, please answer the following:
Grant Title
Source of support/funder
Principal Investigator(s)
*Are you requesting help in developing a grant application?	Yes No
If yes, please answer the following:
Grant Title
Proposed source of support/funder
Principal Investigator(s)

Project Information Sheet

Which software will you be using?

SAS SPSS Minitab EXCEL Other

Project description: Your project description will be used to assign a consultant to you. A consultant can not be assigned to work with you until we have a description of your project or consulting needs.

Design used for data collection, e.g., number of groups, number of subjects per group, etc.

Your hypotheses or research questions.

Specific analysis problem