Establishing a Center or Institute

Thank you for your interest in establishing an institute, center, clinical center or externally designated center at the University of Mississippi Medical Center (UMMC). Centers and institutes at UMMC are units designed to facilitate the contributions of groups to the core missions of education, research and health care. Complete the form below to receive more information about establishing an institute, center, clinical center, or externally designated center at UMMC. Application documents may be found on the Centers and Institutes Intranet Page.

Establishing an Institute, Center or Clinical Center

* = Required Fields

Contact Person*	*
Email Address*	*Invalid Email
Administrative Contact Person
Administrative Contact Email Address	Invalid Email
Type of Center or Institute*	Institute Center Clinical Center Externally Designated Center *
Proposed Name*	*
Description of the proposed program:
Attach any supporting documents	*.txt,*.doc,*.docx,*.xls,*.xlsx,*.pdf, *.gif,*.jpg,*.jpeg,*.bmp,*.png,*.tif,*.tiff