Common Human Haplotype Component Registration/Questionnaire Form

Edmund Yunis, Co-Chair
John Hansen, Co-Chair

Contact Information:

Name

Organization

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

FAX

E-mail

Lab Code

What HLA typing kits/reagents would you like to use for these studies?

Commercial Kits: Yes No

Please identify commercial kits:

Home-made typing kits (requires special instructions for data entry)
Yes No

Please describe home-made typing kit:

Would you be interested in performing additional genomic studies?

Priority level II studies:
TNF Yes No
microsatellites Yes No

Priority level III studies:

SNPs Yes No
Other Yes No
Please identify other:

Would you be interested in joining a common haplotype study group?

Yes No

Will you focus your studies on selected common haplotypes?

Yes No

Which common HLA-A, B, DR haplotypes if any will you choose for your studies?

Do you represent -

an HLA typing laboratory?
a Transplant Center?
a Donor Center?

Other?

Do you have access to samples from patients and unrelated donors?

Yes No

If yes, how many?

How many donor-recipient pairs do you anticipate collecting in 1998?

How many donor-recipient pairs do you anticipate collecting in 1999?

Do you store or maintain your samples as:

cell pellets/DNA
frozen buffy coat
frozen lymphocytes
B lymphoblastoid cell lines
frozen whole blood

Is there another way you store or maintain your samples?

Name
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
Lab Code

Common Human Haplotype Component Registration/Questionnaire Form

Last revised:March 31, 1998