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SPARK Data Access Request

Please complete this Data Use Agreement in its entirety. Once completed, click submit and the form will render a PDF which will be saved to your computer. Please send the pdf to your institution's contracts office to review and sign. Please return the signed copy to spark@pancan.org. For more information about the data available in SPARK, click here.

Institution Name

Title/Role

Name

Address

City

State

Zip Code

Country

Biospecimens and Data Requested

Biospecimens and/or data (e.g. Know Your Tumor and Precision Promise, other)

Description of biospecimens and data elements being requested (e.g. data types or class)

Estimated number of patient records being requested

Intended Use of Data

Primary Objectives

Study design / Methods Planned (As Applicable)

Potential Value / Impact to Pancreatic Cancer Patients or Broader PanCAN Community

Intended Dissemination Plan (internal / External)

Resume(s) upload