Data Access Request Form – The Externalizing Consortium

Data Access Requests

Please fill out the following form to request access to the externalizing GWAS summary statistics. Please note, that you will also need to initiate a request with 23andMe through the 23andMe Publication Dataset Access Procedure. We cannot release the GWAS summary statistics until we have received your letter of permission to access from 23andMe.

Institution Name*
Please provide the name of your Institution.
Principal Investigator Name*
Please provide the name of the Principal Investigator (PI).
Principal Investigator Title*
Please provide the title of the Principal Investigator (PI).
Principal Investigator Email Address*
Please provide the institutional email address of the Principal Investigator (PI).
Designated Researchers
Please provide the names and institutional email addresses of the researcher(s) on your team to whom the summary statistics should be sent (if different from PI).
Researcher Name Researcher Email
Research Project*
Please provide a description of your research project and how you plan to use the externalizing GWAS summary statistics.

Researcher Name	Researcher Email