Department of Neurology - Effort Tracking Request

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This REDCap tool is intended to help the Department of Neurology's administrative team track new effort requests and effort changes.

If you have questions about this tool, please contact the Department's Research Administrative Officer, Kristie Shirley for more information or guidance (kristie.shirley@vumc.org, 615-936-8950).

Last Name - Requestor
What is the last name of the individual making this request?

* must provide value

First Name - Requestor
What is the first name of the individual making this request?

* must provide value

Email Address - Requestor
What is the email address of the individual making this request?

* must provide value

New Hire
Is this effort request for a new hire?

* must provide value

Yes

reset

New Hire Date
Please provide the new hire's start date.

* must provide value

M-D-Y

Effort Change
Is this request for a change in effort allocation for an existing team member?

* must provide value

Yes

reset

Last Name - Team Member
What is the last name of the team member needing an effort update or adjustment?

* must provide value

First Name - Team Member
What is the first name of the team member needing an effort update or adjustment?

* must provide value

Job Title - Team Member
What is the job title of the team member needing an effort update or adjustment?

* must provide value

Cost Center Number (10 digits)	Grant Number (if applicable)	Center or Grant Description	Effort (%)

Effort Total
For full time faculty and staff, this total must equal 100%.

View equation

Effort Change Effective Date
Please provide the effective date for which this change applies.

* must provide value

M-D-Y

Additional Information
Do you have any additional information you would like to communicate to research administration about this effort change? If you have more than 20 sources of effort to report, please add additional details here.

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Signature - Principal Investigator/Faculty Supervisor
To facilitate these changes, the principal investigator or faculty member responsible for this effort update must sign off on this request. If you are making this request on behalf of a faculty member, please share the REDCap survey ID with them so they can return to the survey and sign off.

* must provide value

Add signature

Name - Principal Investigator/Faculty Supervisor
Please type the full name of the principal investigator or the faculty supervisor overseeing this team member.

* must provide value

Submission Date of Request

* must provide value

M-D-Y

If you need to save your responses and return later to complete them, please select 'Save and Return Later'

If you select this choice, you will be taken to a new window confirming your responses were saved.
Please input your email address and select 'Send Survey Link.'
A unique link will be emailed to you so that you can return to the survey and update your responses as needed.

If you are ready to submit your effort request to the Department of Neurology research administration, please select 'Submit'

If you select this choice, you will be taken to a new window where you can request a PDF copy of your responses.
Please input your email address and select 'Send Confirmation Email'
A PDF of your responses will be emailed directly to you.
You also have the option to download and save the PDF directly from REDCap to a local directory.

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.