What is your assignment?
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Tulane Faculty
Tulane Staff
Student
External collaborator
Note: Accounts can only be requested by Tulane Faculty and Staff
The purpose of this request is to:
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Create User Account
Revoke Access
You can now request MULTIPLE user accounts on one this one form. Are you requesting this account for yourself or someone else?
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I will be using this account.
This account is for someone else.
Date of Request
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Today Y-M-D YYYY-MM-DD
Date of Request
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Today M-D-Y
Are you the principal investigator of this project or study?
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Yes
No
Not applicable for this project type
Are you the project owner of this REDCap project?
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Yes
No
What is your role in the project or study?
What is your role in the project or study?
Please input your information. First Name
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Last Name
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Title
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What is your role on the project or study?
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Select all that apply.
Other role:
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School
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SOM SPHTM SSW SSE SLA SOB SPA School of Law School of Architecture
Department
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Phone
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Include Area Code
Email
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username@tulane.edu
Since you will be using this account, please input your information
Since you are requesting this account for someone else, please enter their information in the remainder of this form. Is there an IRB approval letter approving this user(s) study access/removal?
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Yes
No
If yes, please upload the corresponding IRB approval letter:
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We cannot create a REDCap user account until the IRB has approved this study team member. Please contact us at redcap@tulane.edu if you have any questions.
We cannot revoke a REDCap user account until the IRB has approved REDCap Project Title
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Exactly as listed in REDCap (not the protocol title)
The PID for any given project can be found at the top of the webpage when in that respective project. See example below
REDCap Project ID
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See example image above. NOTE: This is not your IRBManager number.
Is this a multi-site project where users at each site can only view data from their site?
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Yes
No
Does your project need or use DAGs?
Indicate Data Access Group needed for this user
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Enter specific DAG if user can only see one site's data. Enter ALL if user can view all data
How many users will be adding/removing?
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1 2 3 4 5 6 7 8 9
If you need more than 9 users, you will need to complete another 'Current User Project' requests
Download the file to review common REDCap user roles/rights
______ Role Name Email Start Date School Department Expiration Date
______ role:
* must provide value
Project Builder Project Manager Principal Investigator Statistician Data Entry Custom Role
Specify role:
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Data Entry/Viewing Rights Exceptions
* must provide value
Data Export Access Exceptions
* must provide value
*must provide value*
Logon ID or email
* must provide value
*must provide value*
Date to expire
* must provide value
Today M-D-Y *must provide value*
______ Role Name Email Start Date School Department Expiration Date
*must provide value*
REDCap role needed:
* must provide value
Custom Role (note name of role below) Project Builder Project Manager Principal Investigator Statistician Data Entry
Logon ID or email
* must provide value
*must provide value*
Date to expire
* must provide value
Today M-D-Y *must provide value*
Data Entry/Viewing Rights Exceptions
Data Export Access Exceptions
______ Role Name Email Start Date School Department Expiration Date
*must provide value*
Logon ID or email
* must provide value
*must provide value*
Date to expire
* must provide value
Today M-D-Y *must provide value*
REDCap role needed:
* must provide value
Custom Role (note name of role below) Project Builder Project Manager Principal Investigator Statistician Data Entry
Data Entry/Viewing Rights Exceptions
Data Export Access Exceptions
______ Role Name Email Start Date School Department Expiration Date
*must provide value*
Logon ID or email
* must provide value
*must provide value*
Date to expire
* must provide value
Today M-D-Y *must provide value*
REDCap role needed:
* must provide value
Custom Role (note name of role below) Project Builder Project Manager Principal Investigator Statistician Data Entry
Data Entry/Viewing Rights Exceptions
Data Export Access Exceptions
______ Role Name Email Start Date School Department Expiration Date
*must provide value*
Logon ID or email
* must provide value
*must provide value*
Date to expire
* must provide value
Today M-D-Y *must provide value*
REDCap role needed:
* must provide value
Custom Role (note name of role below) Project Builder Project Manager Principal Investigator Statistician Data Entry
Data Entry/Viewing Rights Exceptions
Data Export Access Exceptions
______ Role Name Email Start Date School Department Expiration Date
*must provide value*
Logon ID or email
* must provide value
*must provide value*
Date to expire
* must provide value
Today M-D-Y *must provide value*
REDCap role needed:
* must provide value
Custom Role (note name of role below) Project Builder Project Manager Principal Investigator Statistician Data Entry
Data Entry/Viewing Rights Exceptions
Data Export Access Exceptions
______ Role Name Email Start Date School Department Expiration Date
*must provide value*
Logon ID or email
* must provide value
*must provide value*
Date to expire
* must provide value
Today M-D-Y *must provide value*
REDCap role needed:
* must provide value
Custom Role (note name of role below) Project Builder Project Manager Principal Investigator Statistician Data Entry
Data Entry/Viewing Rights Exceptions
Data Export Access Exceptions
______ Role Name Email Start Date School Department Expiration Date
*must provide value*
Logon ID or email
* must provide value
*must provide value*
Date to expire
* must provide value
Today M-D-Y *must provide value*
REDCap role needed:
* must provide value
Custom Role (note name of role below) Project Builder Project Manager Principal Investigator Statistician Data Entry
Data Entry/Viewing Rights Exceptions
Data Export Access Exceptions
______ Role Name Email Start Date School Department Expiration Date
*must provide value*
Logon Email
* must provide value
*must provide value*
Date to expire
* must provide value
Today M-D-Y *must provide value*
REDCap role needed:
* must provide value
Custom Role (note name of role below) Project Builder Project Manager Principal Investigator Statistician Data Entry
Data Entry/Viewing Rights Exceptions
Data Export Access Exceptions
______ Role Name Email Start Date School Department Expiration Date
*must provide value*
Logon ID or email
* must provide value
*must provide value*
Date to expire
* must provide value
Today M-D-Y *must provide value*
REDCap role needed:
* must provide value
Custom Role (note name of role below) Project Builder Project Manager Principal Investigator Statistician Data Entry
Data Entry/Viewing Rights Exceptions
Data Export Access Exceptions
School
* must provide value
SOM SPHTM SSW SSE SLA SOB SPA School of Law School of Architecture External Collaborator
Department
* must provide value
Put n/a for external users.
Desired Start Date for User:
* must provide value
Today M-D-Y MM-DD-YYYY
School
* must provide value
SOM SPHTM SSW SSE SLA SOB SPA School of Law School of Architecture External Collaborator
Department
* must provide value
Put n/a for external users.
Desired Start Date for User:
* must provide value
Today M-D-Y MM-DD-YYYY
School
* must provide value
SOM SPHTM SSW SSE SLA SOB SPA School of Law School of Architecture External Collaborator
Department
* must provide value
Put n/a for external users.
Desired Start Date for User:
* must provide value
Today M-D-Y MM-DD-YYYY
School
* must provide value
SOM SPHTM SSW SSE SLA SOB SPA School of Law School of Architecture External Collaborator
Department
* must provide value
Put n/a for external users.
Desired Start Date for User:
* must provide value
Today M-D-Y MM-DD-YYYY
School
* must provide value
SOM SPHTM SSW SSE SLA SOB SPA School of Law School of Architecture External Collaborator
Department
* must provide value
Put n/a for external users.
Desired Start Date for User:
* must provide value
Today M-D-Y MM-DD-YYYY
School
* must provide value
SOM SPHTM SSW SSE SLA SOB SPA School of Law School of Architecture External Collaborator
Department
* must provide value
Put n/a for external users.
Desired Start Date for User:
* must provide value
Today M-D-Y MM-DD-YYYY
School
* must provide value
SOM SPHTM SSW SSE SLA SOB SPA School of Law School of Architecture External Collaborator
Department
* must provide value
Put n/a for external users.
Desired Start Date for User:
* must provide value
Today M-D-Y MM-DD-YYYY
School
* must provide value
SOM SPHTM SSW SSE SLA SOB SPA School of Law School of Architecture External Collaborator
Department
* must provide value
Put n/a for external users.
Desired Start Date for User:
* must provide value
Today M-D-Y MM-DD-YYYY
School
* must provide value
SOM SPHTM SSW SSE SLA SOB SPA School of Law School of Architecture External Collaborator
Department
* must provide value
Put n/a for external users.
Desired Start Date for User:
* must provide value
Today M-D-Y MM-DD-YYYY
School
* must provide value
SOM SPHTM SSW SSE SLA SOB SPA School of Law School of Architecture External Collaborator
Department
* must provide value
Put n/a for external users.
Desired Start Date for User:
* must provide value
Today M-D-Y MM-DD-YYYY
Data Entry/Viewing Rights Exceptions
Data Export Access Exceptions
User First Name
* must provide value
User Last Name
* must provide value
User's REDCap Role:
* must provide value
Project Builder Project Manager Principal Investigator Statistician Research Assistant/Data Entry Custom Role (note name of role below)
Custom Role:
* must provide value
User's Role in project?
* must provide value
Status with Tulane
* must provide value
Tulane Faculty
Tulane Staff
Tulane Affiliate
Tulane Student
School
* must provide value
SOM SPHTM SSW SSE SLA SOB SPA School of Law School of Architecture External Collaborator
Department
* must provide value
User's Assignment
* must provide value
Faculty
Staff
Student
External collaborator
Phone
* must provide value
Include Area Code
E-mail
* must provide value
Please provide Tulane email address
User's Organization
* must provide value
Tulane SPH
Tulane Medical School or HSC
Tulane other
External Site
Was REDCap Training completed?
* must provide value
Yes
No
Date of Training
* must provide value
Today Y-M-D YYYY-MM-DD
Date of Training
* must provide value
Today M-D-Y MM-DD-YYYY
Desired Start Date for User:
* must provide value
Today M-D-Y MM-DD-YYYY
PI's First Name
* must provide value
Enter 'N/A' if not applicable
PI's Last Name
* must provide value
Enter 'N/A' if not applicable
Desired Start Date for User:
* must provide value
Today Y-M-D YYYY-MM-DD