Welcome to CEDER! Thank you for your interest. We are excited to hear about your project and connect you to experts, resources, and technical assistance.

CEDER's services are designed to ensure Type 2 diabetes-related research integrates community perspectives and priorities into all stages of the research process. We aim to foster long-term, equitable partnerships to maximize impact.

Date of short form

M-D-Y

Name:
Institution/Organization:
Phone number:
Email address:

First name

Last name

Title or position

In your work, do you primarily conduct research, deliver services (e.g., community-based programs, government programs), or both?

* must provide value

Conduct research

Deliver services

Both

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Please describe how CEDER can support you/your project and write any questions you have below. (e.g., looking for project collaborators, need a letter of support, seeking feedback on program materials or grant proposal, looking for resources on a specific topic, etc.) If possible, please include the following information to help us better understand how we can help:

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Please provide the following information about your project or grant proposal:

Project name or topic (if applicable):

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Project goals/objectives:

* must provide value

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Demographics of population you will work with:

* must provide value

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Project location:

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Please share any relevant deadlines associated with your request of this project. For example, planned project launch dates or grant proposal submission deadlines by month/day/year.

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Please upload additional documents or materials to help us to better understand your project (e.g., Specific aims of a research project, program curriculum or other materials needing feedback, policy reports)

Document 1:
Document 2:
Document 3:

What are you seeking support on? Please select up to four priority areas and add brief details about your needs below.

Letter of support

Making connections with potential collaborators

Recruitment and retention strategies or guidance

Community engagement approaches

Research frameworks

General research guidance

Study design or methods

Feedback on project or topic materials

Program evaluation

Hiring and training staff

Data collection

Data analysis methods

Grant proposal developments

Sustaining programs and partnerships

Dissemination and publishing

Other (specify):

Are you requesting a letter of support as part of this request?

Yes

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If requesting a letter of support, what is the deadline?

First priority area:

Making connections with potential collaborators

Recruitment and retention strategies or guidance

Community engagement approaches

Health equity frameworks

General research guidance

Study design or methods

Feedback on project or topic materials

Program evaluation

Hiring and training staff

Data collection

Data analysis methods

Feedback or advice on grant proposal developments

Sustaining programs and partnerships

Dissemination and publishing

Other (specify):

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Second priority area:

Making connections with potential collaborators

Recruitment and retention strategies or guidance

Community engagement approaches

Health equity frameworks

General research guidance

Study design or methods

Feedback on project or topic materials

Program evaluation

Hiring and training staff

Data collection

Data analysis methods

Feedback or advice on grant proposal developments

Sustaining programs and partnerships

Dissemination and publishing

Other (specify):

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Third priority area:

Making connections with potential collaborators

Recruitment and retention strategies or guidance

Community engagement approaches

Health equity frameworks

General research guidance

Study design or methods

Feedback on project or topic materials

Program evaluation

Hiring and training staff

Data collection

Data analysis methods

Feedback or advice on grant proposal developments

Sustaining programs and partnerships

Dissemination and publishing

Other (specify):

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Which collaborators?

Community-based organizations

Healthcare providers

Government agencies

Schools

Faith-based organizations

Other (specify):

Please add brief details about your needs.

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Please add any additional information about potential collaborators.

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Which collaborators?

In what areas of Type 2 Diabetes (T2D) expertise does your program or project need support? (check all that apply and add brief details about your needs below)

General expertise in T2D

T2D Complications

T2D Prevention

T2D Management

T2D Population Disparities

T2D and Basic Science

T2D and Genetics

T2D and Technology

T2D Interventions and Implementation

T2D Education

T2D and Implementation Science

Other (specify):

Don't know/Not sure

In what areas of Type 2 diabetes (T2D) expertise does your program or project need support? (check all that apply and add brief details about your needs below)

Add brief details about your T2D expertise needs:

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Project Status

Planning (conceptualization, methodology, etc.)

Conducting (Implementation of intervention, data collection)

Dissemination (Relaying findings to audiences)

Other:

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Is your work funded by a grant or contract?

Yes

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Please tell us how you learned about CEDER services.

Someone from an academic partner (specify):

Someone from a community partner (specify):

Referred by the Centers for Diabetes Translation Research (CDTR) Network

Referred by the National Institute of Diabetes and Digestive and Kidney Disease (NIDDK)

Referred by a colleague/friend (specify):

Referred by someone who received CEDER services (specify):

Viewed on the National CEDER Website

Viewed on social media

Other source (please describe):

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Please tell us how you learned about CEDER services.

Centers for Diabetes Translation Research Network (specify):

National Institute of Diabetes and Digestive and Kidney Disease (specify):

Colleague (specify):

Someone who received CEDER services (specify):

National CEDER Website

Other source (please describe):

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Which social media platform?

X (formerly known as Twitter)

Facebook

Other (please describe):

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Have you previously contacted CEDER about services?

Yes

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Have you previously contacted CEDER about the same project or topic?

Same project/topic

Different project/topic

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If it was a different project or topic, please list the title:

Please provide a few dates/times in the next two weeks that would work for your team to meet, including your time zone and preference for a Zoom meeting or phone call.

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When would you like to begin receiving services for this request?

One month from now

2-3 months from now

3-6 months from now

6-12 months from now

Other (specify):

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Any additional questions or comments

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What terms best describe your gender identity?

Man

Woman

Non-binary

Transgender

None of these describe me (specify):

What is your race or ethnicity? (Check all that apply)

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Another race or ethnicity (please specify):

Don't know

What specific American Indian or Alaska Native ethnic group(s) do you identify with? WRITE-IN

What specific Asian ethnic group(s) do you identify with? (Check all that apply)

Asian Indian

Bangladeshi

Chinese

Filipino

Guyanese

Japanese

Korean

Pakistani

Vietnamese

Not listed (please specify):

What specific Black or African American ethnic group(s) do you identify with? (Check all that apply)

African American

Ethiopian

Ghanaian

Guyanese

Haitian

Jamaican

Nigerian

Somali

Trinidadian and Tobagonian

Not listed (please specify):

What specific Hispanic or Latino ethnic group(s) do you identify with? (Check all that apply)

Colombian

Cuban

Dominican

Ecuadorian

Guatemalan

Mexican

Puerto Rican

Salvadoran

Not listed (please specify):

What specific Middle Eastern or North African ethnic group(s) do you identify with? (Check all that apply)

Algerian

Egyptian

Iranian

Iraqi

Israeli

Lebanese

Moroccan

Palestinian

Syrian

Other (please specify):

What specific Native Hawaiian or Pacific Islander ethnic group(s) do you identify with? (Check all that apply)

Chamorro

Fijian

Marshallese

Micronesian

Native Hawaiian

Samoan

Tongan

Not listed (please specify):

What specific White ethnic group(s) do you identify with? (Check all that apply)

English

French

German

Greek

Irish

Italian

Polish

Russian

Scottish

Ukrainian

Not listed (please specify):

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