Human Genomics Sequencing Technologies Accelerator Request Form Human Genomics Sequencing Technologies Accelerator Request Form FacebookThis field is for validation purposes and should be left unchanged.Project InformationPI Name(Required) First Last PI Email(Required) CPM Member or Affiliate Member?(Required) Yes No Project Contact Name(Required) First Last Project Contact Email(Required) Billing Cost Center (CC00XXXX)(Required)Billing Worktag (GR, GF, PR, or PG)(Required)Samples, Data Generation & SharingSample Description:Number of samples:What type of sample?(Required) Illumina library cfDNA genomic DNA Read depth requested:If requested, will you share your sequencing data? I agreeExpected Project Completion Date:(Required) Month Day Year Estimated Date for Controlled-Access Data Release (≥6 months post-completion):(Required) Month Day Year Human Subject Consent & ComplianceHuman Subjects Protocol:(Required) Yes No WiscShare Protocol:(Required) Yes No Participant Consent for Data Sharing:(Required) Yes No Are clinical annotations included? Yes No What annotations are included? Age Sex Disease type Health/Disease stage Other Upload your approved human subjects protocol.(Required)Max. file size: 24 MB. Support & AccessRequest CPM Support for Data Generation? Yes No Use CPM Laboratory/Informatics Pipelines? Yes No Feedback & EngagementAre you willing to provide feedback on technical setup?? Yes No Additional Comments or Needs:Additional information that you would like to include: