*Name: First M Last

*Principal Investigator Co-Investigator   Research Nurse Study Coordinator

Degree: MD PhD ScD EdD RN MPH MA MS BA BS  

Other

*Telephone: Fax: (Do not use hyphens)

*E-mail:

*Address:

*Institution: Select PHS MGH BWH NW Spaulding Faulkner McLean Other   Department:

Years participating in clinical research:  Select 0-1 1-5 5-10 10+

Types of studies conducting/working on (check all that apply):

Drug     Device     Genetics     Questionnaire

Medical Records/Database Review     Tissue Repository

Other

Funding Sources (check all that apply):

Industry    Government/NIH     Foundation     Department

Other

*Required Fields

Lecture Titles: You may sign up for more than one.

Getting the Job Done

7/10/08: 9:00-10:00am - MGH (Closed)

07/17/08: 12:00-1:00pm - BWH (Closed)

Institutional Requirements

7/24/08: 9:00-10:00am - MGH (Closed)

07/31/08: 12:00-1:00pm - BWH (Closed)

8/07/08: 9:00-10:00am - MGH (Closed)

08/14/07: 12:00-1:00pm - BWH (Closed)

8/21/07: 9:00-10:00am - MGH

08/28/08: 12:00-1:00pm - BWH