UNC CRISPR Screening Facility Inquiry | UNC Drug Discovery Initiative

Innovator Information

Lead PI Name*

Lead PI Title*

Lead PI Institution*

University of North Carolina

Lead PI Department*

Lead PI Email*

Is there a Co-PI on this project?*

Yes
No

Co-PI Name*

Co-PI Email*

Co-PI Institution (please provide specific school if internal to UNC)*

Co-PI Department*

Project/Screen Information

Please indicate the type of screen you are proposing:*

Pooled Screen
Arrayed Screen

How many genes would be ideal for your screen?*

Which gene family would you like to screen?*

Screen/Project Title*

Please describe your proposed CRISPR genetic screen:*

Include the screen's main objective, scientific significance, problem or need.
[Maximum character count: 2,500]

Please disclose your source of funding for the screen:*

What type of cell line will this screen be run in?*

(i.e., species, cell line name, type of cell, etc.)

Will human patient derived samples be used?*

Yes
No

Please provide more information on the human patient derived samples to be used:*

Please provide any specific tissue culture requirements for your cell line:*

Are all required materials to run the screen (e.g., cell line) available to you now?*

Yes
No

How long will it take you to get the materials ready?*

What kind of measurement will you be using for your screen?*

Selection
Phenotypic
Reporter

Please indicate what type of selection assay:*

Please indicate what type of phenotypic assay (i.e. cell morphology)*

Please indicate what type of reporter assay (i.e. flourescence, luminescence, etc)*

Do you have a UNC Chartfield String available now to run your screen?*

Yes
No
I am external to UNC

Please enter UNC Chartfield String information:*

Your unit will not be billed until your screen is run

When will your funding be available?*

Please provide contact information for invoices:*

Equity and Diversity Questionnaire

The below demographic information is collected for administrative purposes only and is not used to determine facility usage.

PI Race/Ethnicity*

Hispanic or Latino, of any race
American Indian or Alaska Native, not Hispanic or Latino
Asian, not Hispanic or Latino
Black, not Hispanic or Latino
Native Hawaiian or Other Pacific Islander, not Hispanic or Latino
White, not Hispanic or Latino
Two or more races, not Hispanic or Latino
Prefer not to answer

PI Gender*

Male
Female
Non-Binary
Prefer not to answer

Co-PI Race/Ethnicity*

Hispanic or Latino, of any race
American Indian or Alaska Native, not Hispanic or Latino
Asian, not Hispanic or Latino
Black, not Hispanic or Latino
Native Hawaiian or Other Pacific Islander, not Hispanic or Latino
White, not Hispanic or Latino
Two or more races, not Hispanic or Latino
Prefer not to answer

Co-PI Gender*

Male
Female
Non-Binary
Prefer not to answer

Name

This field is for validation purposes and should be left unchanged.