Principal Investigator Name * PI Email * Project Correspondence Contact Person * Project Correspondence Email * Research Assistant Tasks (Check all that apply) * Marketing Language Translation (Spanish) Phone Contact In-Person Contact Email Contact Screening Participant Recruitment Data Collection Participant Follow Up Dissemination of Results Data Entry Transcriptions (English) Transcriptions (Spanish) Project Piloting (e.g., survey measures) Promotores de Salud Advisory Board & Promotores-Researchers Tasks (Check all that apply) * Feedback on Project Design Feedback on data collection instrument/forms Feedback on recruitment methodology Outreach to organization and advocates Feedback on Dissemination Plan Dissemination Meeting(s) Participant Recruitment Data Collection Dissemination Project Description * Please describe your project. Inclusion Criteria for Participant Enrollment * Describe all the characteristics that potential participants should have, should not have, or may otherwise be important for enrollment in your research. Examples may include co-morbidity, language, gender, age, etc of eligible participants. Dissemination Plan * How would you like help disseminating your results? CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
