THE CRA BLUEPRINT

STUDY COORDINATOR TRAINING

PRE-PREGISTRATION 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. How familiar are you with Good Clinical Practice (GCP) guidelines?

5. How familiar are you with IATA requirements?

6. Do you have experience working with regulatory bodies such as the FDA, EMA, or others? If so, please provide details.

7. Are you familiar with any Electronic Data Capture (EDC) systems?

8. Do you have proficiency in any statistical software or other relevant tools?

9. Why are you interested in the Study Coordinator Training course?

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

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

Please upload a PDF only file of your current CV.

12. 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?