Community or Organization Name * Iowa County * Primary Contact Email * Primary Contact Phone Number * Please choose one of the following: * I am interested in collaborating with the University of Iowa on research based in my community. I am interested in having the University of Iowa conduct specific research in my community. I am interested in partnering with the University of Iowa on a grant application. I am interested in a different form of grant support from the University of Iowa. Research or Grant Support details * Please be as descriptive as possible. 3+4=