The code block below illustrates how one might use # and // as comments in your logic and calculations.

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This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

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This field must be a valid email address (like joe@user.com). Please re-enter it now.

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Required format:

Request Access to Kidney Precision Medicine Project (KPMP) Applications

This form is required to begin your onboarding to KPMP. Please fill out the form in entirety to access KPMP software and applications, and to correctly be added to appropriate KPMP committees and mailing lists.

If you belong to one of the KPMP member institutions, please enter your email address below for that institution as that may make the registration process easier.

When we receive this survey from you, we will try to determine whether your institutional email user ID might be sufficient to allow you to log in to the KPMP applications page. If not, we will create a login account for you.

The option "" can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?

You are signed in as ______ ______ with ID ______
If this is not you, you must log out and then log back in with your own credentials.

Click here to see if you have already taken the personnel management survey.
If your name is on the list you do not need to take it again.

Click here to see if you have already taken the personnel management survey.
If your name is on the list you do not need to take it again.

Have you tried to log into this survey using this link?
https://specimen.kpmp.org/onboard-private

Yes, but the login process was unsuccessful

My participation with KPMP will not require logging into KPMP systems

reset

Please click on the above link to access the survey, then close this window.

If you can log in using the above link, it will simplify and shorten the process of giving you access to KPMP tools and applications.

Full Legal Name
First Name	Last Name

Is your preferred first and last name the same as entered above?

* must provide value

Yes

First name is different

Last name is different

Both first and last name are different

reset

Preferred first name

Preferred last name

Degrees or Designations

MPH

PhD

FASN

Other

Other Degrees or Designations

Email Address

* must provide value

Re-enter Email Address

* must provide value

Emails do not match

* must provide value

reset

Do you have a second email address needed for KPMP communications

Yes

reset

Email Address

* must provide value

Re-enter Email Address

* must provide value

Emails do not match

* must provide value

reset

Institution you are affiliated with:

* must provide value

Please specify your institution/organization

* must provide value

What type of project was your site funded for?

* must provide value

Central Hub

DSMB

KMAP

Opportunity Pool - CRIC

Opportunity Pool - Enhanced Clinical Phenotyping (Retina, fMRI, and Physiology studies)

Opportunity Pool - Glue Grant

Opportunity Pool - Healthy Reference Tissue (HRT)

Opportunity Pool - New Technologies

Opportunity Pool - Biomimetic Phantom

Opportunity Pool - Biomarkers

OSMB

NIDDK

Recruitment Site

Tissue Interrogation Site

Other

What type of project was your site funded for?

* must provide value

Project groups for Central Hub

* must provide value

Project groups for KMAP

* must provide value

Data Management Core (DMC)

Data Analysis Hub (DAH)

Data Visualization Hub (DVH)

Project groups for Enhanced Clinical Phenotyping

* must provide value

Project groups for Glue Grant

* must provide value

Project groups for Healthy Reference Tissue (HRT)

* must provide value

Project groups for New Technologies

* must provide value

Project groups for Phantom

* must provide value

Project groups for Biomarkers

* must provide value

Project groups for Recruitment Sites:

* must provide value

Project groups for Tissue Interrogation Sites:

* must provide value

What is your role in the Kidney Precision Medicine Project?

* must provide value

Principal Investigator

Co-Investigator

Biopsy Operator

Pathologist

Research Coordinator

Project Manager

Study staff

DSMB member

OSMB member

NIDDK program staff

Fellow

Patient Partner

Other

What other role do you have?

* must provide value

For KPMP purposes, an early stage investigator includes the NIDDK definition of an ESI (https://www.niddk.nih.gov/research-funding/process/apply/new-early-stage-investigators), as well as medical students, trainees, fellows, post-docs, or anyone else wishing to pursue a career in nephrology, nephropathology, or kidney related science.

Please only select this button if YOU are currently an ESI under this categorization.

Are you currently an early-stage investigator?

Yes

reset

When possible, PubMed will index KPMP consortium members as collaborators for "For the Kidney Precision Medicine Project" papers. Site principal investigators should be indexed as collaborators.

Please enter your publication name as you wish for it to be shown for PubMed indexing, and other publication purposes. Include middle initial if used.

* must provide value

ORCID ID

Twitter handle

Do you want to join the KPMP general mailing list in order to receive the weekly newsletter, the monthly Steering Committee agenda, and other consortium announcements?

Yes

reset

KPMP work is done predominately through collaborative, multi-disciplinary committees. Committee membership is open to anyone, including patient partners, research coordinators, early-career investigators, biopsy operators, pathologists, co-investigators, principal investigators, and other study staff. Please choose committees where you would like to actively attend zoom meetings and participate in email discussion. Most committees meet monthly, though P&P and the adjudication committees meet more often. Please note the P&P Committee and Ancillary Study Subcommittee limit membership to ensure broad and equal participation across sites.

The image below shows the committee structure in KPMP.
You can zoom in to the image by pressing < ctrl > + (Windows) or < command > + (OSX)

You can find a description of KPMP committees by clicking on THIS LINK.

Please select the committees you would like to be a part of.

* must provide value

AKI Adjudication Subcommittee

Ancillary Studies Subcommittee

Biocuration Committee

CKD Adjudication Subcommittee

Clinical Operations Committee

Collaborations Committee

Community Engagement Committee

Laboratory Subcommittee

omics & Imaging Subcommittee

P&P Committee

Pathology & Molecular Integration Committee

Pathology Subcommittee

Quality Assurance Committee

Safety & Adjudication Subcommittee

TISAC (Tissue Interrogation Site Approval Committee)

None of the above

KPMP maintains a directory of all consortium members to allow for contact between members and cross-site collaboration. Please check this box if you want to *opt-out* of being listed in the directory.

I want to *opt-out* of being listed in the directory.

KPMP has several tools available as resources for consortium members.

Digital Pathology Repository (DPR) - A slide viewer for KPMP biopsied kidney tissue. KPMP pathologists will need access to this tool.

Data Lake Uploader (DLU) - Tool to upload data for KPMP consortium use. Tissue Interrogation Site (TIS) investigators and staff responsible for uploading data will need access to this tool.

REDCap - Tool for clinical data entry and for reporting any KPMP issues with quality or process. Recruitment Site (RS) investigators and staff responsible for entering participant related data will need access to this tool.

SpecTrack - Tool to track aliquoting and movement of tissue samples. Any consortium member responsible for tissue handling, or shipping will need access to this tool.

CDCC Reports - Suite of dashboards and reports. Anyone in the consortium who has a KPMP signed confidentialiy agreement, and OSMB & DSMB members are allowed access to this tool.

Publications & Presentations (P&P) System - Tool to facilitate the development and publication of research using KPMP data. Contains resources describing the dataset, a bibliography of published papers, and a submission portal for new projects. Anyone in the consortium who has a KPMP signed confidentialiy agreement is allowed access to this tool.

Participant portal administrator site - Tool used by clinical research site coordinators to manage access for participants to the participant digital portal.

Need access

Do NOT Need Access

Don't know

Digital Pathology Repository (DPR)

reset

Data Lake Uploader (DLU)

REDCap

SpecTrack

CDCC Reports

Publications & Presentations (P&P) System

reset

Participant portal administrator site

reset

Consortium members will be added to Basecamp (KPMP's internal document & communication platform) to access KPMP documents & meeting minutes based on their role and committee sign-ups.

Please enter any comments or questions here:

Expand

PM 01 - Ashveena email
______

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PM 01 - Name

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PM 01 Alerts

1, Central Hub
2, DSMB
6, Opportunity Pool - Glue Grant
9, Opportunity Pool - Biomimetic Phantom
11, OSMB
12, NIDDK
98, Other
-temp
13, Recruitment Site
14, Tissue Interrogation Site
-committees
6, Collaborations Committee
7, Community Engagement Committee

previously
@HIDDEN @CALCTEXT(if(Unchecked='1' or Unchecked='1' or Unchecked='1' or Unchecked='1' or Unchecked='1' or Unchecked='1' or Unchecked='1' or Unchecked='1' or Unchecked='1',______,"" ))

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PM 02 - Nikki email

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PM 02 - Name

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PM 02 Alerts

3, KMAP

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PM 03 - Kristina email

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PM 03 - Name

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PM 03 Alerts

4, Opportunity Pool - CRIC
7, Opportunity Pool - Healthy Reference Tissue (HRT)
13, Recruitment Site
-committees
5, Clinical Operations Committee
8, Laboratory Subcommittee
14, Safety & Adjudication Subcommittee

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PM 04 - Brooke email

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PM 04 - Name

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PM 04 Alerts

5, Opportunity Pool - Enhanced Clinical Phenotyping (Retina, fMRI, and Physiology studies)
13, Recruitment Site
-committees
1, AKI Adjudication Subcommittee
4, CKD Adjudication Subcommittee

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PM 05 - Brandon email

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PM 05 - Name

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PM 05 Alerts

8, Opportunity Pool - New Technologies
14, Tissue Interrogation Site
-committees
3, Biocuration Committee
9, omics & Imaging Subcommittee
11, Pathology & Molecular Integration Committee
12, Pathology Subcommittee
13, Quality Assurance Committee
15, TISAC (Tissue Interrogation Site Approval Committee)

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PM 06 - Name

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PM 06 - Natalya email
Currently email address is empty because Natalya left

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PM 06 Alerts

10, Opportunity Pool - Biomarkers
-committees
2, Ancillary Studies Subcommittee
10, P&P Committee

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PM 07 - Name

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PM 07 - Ashley email

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PM 08 - Name

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PM 08 - Jonas email

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PM 09 - Name

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PM 08 - Ninive email

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PM 99 - Name
REDCap admin

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PM 99 - Fred email
REDCap admin

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Survey date

Net ID imported from calling program

First Name imported from calling program

Last Name imported from calling program

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