Diabetes Research Center Application for Affiliate Status Project Title* Date Month123456789101112 Day12345678910111213141516171819202122232425262728293031 Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 First Name* Middle Initial* Last Name* Degrees* Academic Title* University/Organization* School* Department* Division* Site (Non-UW Faculty: Mailing Address)* Box (Non-UW Faculty: City/State/Zip Code)* Phone* Email* Co-Investigator(s)/Collaborator(s) First Name Middle Initial Last Name Academic Title Departmental Affiliations Current Research Funding* Agency Award Number Award Title Principal Investigator Award Period Direct Costs Cores to be utilized (check all that are applicable)* Proteomics and Bioinformatics Core Cellular and Molecular Imaging Core CRISPR, Vector and Transgenic Mouse Core Metabolic and Cellular Phenotyping Core Research Base (Primary)* -- select a Research Base --Biomarkers and T cell signatures of type 1 diabetesCentral Regulation of Body Weight and Glucose MetabolismClinical Trials and Large-Scale Epidemiologic StudiesComplications of DiabetesDiabetic retinopathyEtiology, Pathogenesis and Treatment of Type 1 DiabetesMetabolic Complications of Chronic Kidney DiseaseMolecular basis for Type 1 diabetesPathophysiology and Treatment of Type 2 Diabetes Research Base (Secondary) Select an additional research baseBiomarkers and T cell signatures of type 1 diabetesCentral Regulation of Body Weight and Glucose MetabolismClinical Trials and Large-Scale Epidemiologic StudiesComplications of DiabetesDiabetic retinopathyEtiology, Pathogenesis and Treatment of Type 1 DiabetesMetabolic Complications of Chronic Kidney DiseaseMolecular basis for Type 1 diabetesPathophysiology and Treatment of Type 2 Diabetes Research Base (Secondary) Select an additional research baseBiomarkers and T cell signatures of type 1 diabetesCentral Regulation of Body Weight and Glucose MetabolismClinical Trials and Large-Scale Epidemiologic StudiesComplications of DiabetesDiabetic retinopathyEtiology, Pathogenesis and Treatment of Type 1 DiabetesMetabolic Complications of Chronic Kidney DiseaseMolecular basis for Type 1 diabetesPathophysiology and Treatment of Type 2 Diabetes Describe, in general terms (1-2 sentences), the core services you plan to use* Project summary (short paragraph) and how it relates to diabetes or obesity* Research interests* Upload your C.V.* Accepted file types: doc, docx, pdf, Max. file size: 32 MB.