Please use this form to request an NIH eRA Commons account from OSP.
NIH Commons Account Form
Requested By:
Email Address:
Please check team (if known): Blue Team (ospblue@vcu.edu) Green Team (ospgreen@vcu.edu) Red Team (ospred@vcu.edu) Please check campus: Monroe Campus MCV Campus Please check role: Principal investigator Administrator Financial Administrator Prior NIH support: No Yes If yes, provide grant number, IC, or serial number: Unless specificed below, the eRA Commons user name will be your VCU email name: Name: Format: First Middle Last Campus Address: City: State/Province: Zip: Country: Phone: Format: xxx-xxx-xxxx Fax: Email Address: Department: Institution: Title:
Name: Format: First Middle Last Campus Address: City:
State/Province: Zip:
Country:
Phone: Format: xxx-xxx-xxxx
Fax: Email Address:
Department: Institution:
Title: