THE CRA BLUEPRINT

DATA MANAGEMENT TRAINING

PRE-REGISTRATION FORM

FULL NAME:

PHONE NUMBER:

EMAIL:

What is your current job title?

PAYMENT TYPE:

START DATE OF INTEREST:

Free Text

ASSESSMENT

1. What is the highest degree you have earned?

Specify:

2. What was your major or field of study?

3. How many years of experience do you have in Clinical Research?

4. Can you describe your experience with data management practices, including specific roles and responsibilities?

5. Are you familiar with any data management systems or software (e.g., SQL, SAS, Oracle, EDC systems)?

6. Do you have proficiency in any data analysis tools or programming languages (e.g., Python, R, SPSS)?

7. How familiar are you with data protection regulations and standards (e.g., GDPR, HIPAA)?

8. Why are you interested in the Data Management Training course?

9. What do you hope to achieve by completing this course?

10. How do you plan to apply the knowledge and skills gained from this course in your current or future role?

Please upload a PDF only file of your current CV.

Do you consent to the collection and use of your personal data as per our privacy policies?

13. By submitting this form, do you acknowledge that the information provided is accurate to the best of your knowledge?