Washington University Center for Kidney Disease Research

	   

Principal Investigator:_______________________________________	Date:_____________

Project Title:____________________________________________________________________

__________________________________________________________________________________		

Please indicate which core(s) you will wish to use for your proposed project and describe
specific needs:

1. Renal Organogenesis Core_____
Contact: Marc R Hammerman MD
mhammerm@wustl.edu

2. Renal Disease Models Core_____
Contact: Jeffrey Miner PhD
minerj@wustl.edu

3. Kidney Translational Research Core_____
Contacts: 
Daniel Brennan MD
brennan@wudosis.wustl.edu
Sanjay Jain MD PhD
sjain22@wustl.edu

Specific Needs:___________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Current Address: ____________________________________________

                 ____________________________________________

                 ____________________________________________

                 ____________________________________________

Work Phone: (       )        -

E-mail:_____________________________________

Human Studies Committee Approval

Yes_____ Approval number_____________________________

No______ Pending_____ If pending, date submitted__________________

Animals Studies Committee Approval

Yes_____ Approval number_____________________________

No______ Pending_____ If pending, date submitted__________________

Relevant publications:













FAX completed application to 314 362 8237 or e-mail one of the Core Directors 
or address correspondence to one of the above core directors or Dr. Aubrey Morrison MBBS,
(morrison@wustl.edu) Administrative Core Director at:

Washington University Renal Division
Campus Box 8126
Washington University School of Medicine
660 S. Euclid Ave.
St. Louis, MO 63110