Clinical Research Management Collaborative Training Series Registration

Clinical Research Management Collaborative Training Series

This three-part webinar training series geared to the advancement of clinical and translational research within a diverse workforce. Interested in expanding your knowledge in clinical and translational science? You can register now!
Full Name *

First Name Last Name
Email *
example@example.com
Which institution are you affiliated with? *

Rutgers-RBHS Rutgers-Newark Rutgers-Camden New Jersey Institute of Technology Princeton University Other
If other, which university?
To which gender identity do you most identify? *

Male Female Non-binary Gender Variant/Non-Conforming Prefer not to disclose Not Listed
Do you identify as any of the racial categories (Select all that apply)? *

American Indian/Alaska Native Asian Native Hawaiian/Other Pacific Islander More than One Race Black or African American White Prefer not to disclose Not Listed
Do you identify as Hispanic or Latino? *

Yes No
Current Position/Title *

Community Member Undergraduate Student Professional/Graduate Student Postdoc/Fellow/Resident Assistant Professor Associate Professor Professor Researcher Physician/Clinician/Medical Staff Instructor Administrator/Staff Other
If Other, please explain
Current Level of Education *

In Training (student) Bachelor's Degree Master's Degree JD MD PhD or Equivalent Other
What are you hoping to learn about clinical research during this webinar? *
Which training workshop are you interested in attending? (Select all that apply) *

Navigating the IND Process for Academic Investigators (November 9th at 5p) Diversity and Inclusion in site Identification- Part 1 (November 16th at 1p) Diversity and Inclusion in site Identification- Part 2(January 2023?)
How did you this hear about training series? (Select all that apply) *

Recommended by a friend or a colleague Social Media (Facebook) NJ ACTS Website NJ ACTS LinkedIn Page NJ ACTS Newsletter Other
If other, please explain
Thank you for deciding to join the conversation about Clinical Trials! By submitting your registration below, a confirmation email will be been sent to you with more details about these events. In the meantime, please contact Yaheca Ebanks, the NJ ACTS Project Manager at yebanks@shp.rutgers.edu if you have any questions.

A calendar invite will be sent to your inbox one week prior to the session(s) you have registered for.

For further information on the educational initiatives of the New Jersey Alliance in Clinical and Translational Science (NJ ACTS) at Rutgers University, please visit us at: https://njacts.rbhs.rutgers.edu/education-training/
Brought to you by The New Jersey Alliance for Clinical & Translational Sciences (NJ ACTS) Workforce Development Core supported by the NJ ACTS CTSA grant UL1TR003017
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