Request an Account for the Research Portal

Please complete and submit this form to create your account in the LLS Research Grant Portal. You will receive an email when your account has been created. A post-graduate degree (or equivalent) and appointment to a not-for-profit institution is required to apply for our Research Grant Programs. Need help? Contact us at researchprograms@lls.org.

First Name *

M.I.

Last Name *

Degree *

Title at Institution

Phone Number (Office) *

Phone Number (Cell)

Email Address *

Receive texts about program openings, application deadlines, and other important program information. (US and Domestic Only) *Data rates may apply. *

Yes

No

Institution Info:

Institution Name *

Street Address

City *

State/Province/Region *

Zip/Postal Code

Country *

Institution Web Site

Have you previously registered under or submitted an application from a different institution? *

Unsure

No

Yes (Please list previous institution) Yes (Please list previous institution)

Program Info:

Role *

Program of Interest

Demographic Information:

Race

Gender Identity

Do you identify as Hispanic or Latino?

Administrative Assistant (if applicable)

First Name

M.I.

Last Name

Email Address

Phone Number (Cell)

Phone Number (Office)

Questions?