External Reviewer Request Form

In order to request an external reviewer to critique your research strategy, please provide the following information.

NOTE: To provide adequate time for reviewing and revising applications, reviewer requests and draft applications must be submitted 6-weeks in advance of the sponsor's submission deadline. Thank you.

Center for Research and Scholarship, a division in the College of Nursing and Health Innovation

I. Principal Investigator Information
* First Last
Email
Department *
II. Proposal Information
Submission deadline Submission deadline * / MM / DD YYYY
Sponsoring Agency *
Proposal

Working Title *
Funding Opportunity Announcement # (if applicable) *
Abstract *
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III. Reviewers Contact Information
Given the quick turnaround, the reviewer you want may not be available. To increase the likelihood of a review, please provide the name and contact information for up to three experts who might serve as reviewers of your research proposal. Please note that only one reviewer per proposal will be selected.
Reviewer No. 1
Name Reviewer No. 1
Name * First Last
Organization/Affiliation *
Email *
Phone Phone * - ### - ### ####
Reviewer No. 2

Name Reviewer No. 2

Name First Last
Organization/Affiliation
Email
Phone Phone - ### - ### ####
Reviewer No. 3

Name Reviewer No. 3

Name First Last
Organization/Affiliation
Email
Phone Phone - ### - ### ####

External Reviewer Request Form

External Reviewer Request Form

I. Principal Investigator Information

II. Proposal Information