Streamlyne - Account creation request form

The University of Puerto Rico Comprehensive Cancer Center (UPRCCC) uses Streamlyne software to manage its Pre-Award and IRB processes. An account should be set up within the platform to access any of these services as an external individual. To set up your account, please provide the following information. After submitting the form, a system administrator will validate your information and create your account if authorization is granted. Please allow up to 5 labor days to create your account. If further information is needed, a system administrator will contact you.

First Name:

* must provide value

Last Name(s):

* must provide value

Contact e-mail:

To be used for account creation purposes.

* must provide value

Contact phone:

* must provide value

Select the one that best describes your role within the UPRCCC :

* must provide value

Other role at UPRCCC:

Primary Academic/ Institutional Affiliation:

* must provide value

Other academic institution:

Other academic institution in the United States:

Which academic degree are you currently pursuing?

* must provide value

Other academic degree:

Primary Research Division Affiliation?

* must provide value

Other division/office:

Private industry name:

* must provide value

What is the Purpose of requesting a Streamlyne account?

* must provide value

Please provide the following information regarding the Principal Investigator you are working with.

Are you currently working with any UPRCCC-appointed investigators?

* must provide value

Yes

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Name of the Principal Investigator you are working with:

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Division of the Principal Investigator you are working with:

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Other division:

Please provide the following information regarding your researchers associated accounts.

Do you have an active eRa commons account?

(If not, an account will be created)

* must provide value

Yes

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eRa Commons Username:

* must provide value

Which role is to be assigned to your new eRa commons account?

ORCID Id:

Please provide the following city program certifications in order to request your Streamlyne IRB account creation. You can complete and download your certificates at https://about.citiprogram.org

Human Subject Protection:

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Good Clinical Practice:

* must provide value

Upload file

Health Information Privacy & Security (HIPS):

* must provide value

Upload file

Biosafety and Biosecurity (BSS):

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Other certificate:

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By submitting this form, you acknowledge that you will comply with all applicable federal, local, and institutional policies for using institutional electronic systems. Any violations will automatically cancel your Streamlyne user privileges and could be subject to appropriate penalties or fines. For more information, visit: www.cccupr.org

After submitting this form, please allow up to 5 labor days for your account to be created. Once set, a system administrator will contact you with the account information.

* must provide value

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