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Nominate a SOCRA Member » SOCRA

Nominate a SOCRA Member

Nominate a SOCRA Member to be recognized for their outstanding work and contributions to clinical research! We will feature several submissions leading up to Clinical Trials Day and choose several members to be featured in the next issue of the SOCRA Source, our quarterly journal!

Clinical Trials Day Nomination Form

Nominee Information

Nominee Name

First Name

Last Name

Credentials

Nominee Email

Title and Organization

Reason for Nomination

Please provide a short blurb (250 words or less) on why you have nominated this person to be featured in honor of Clinical Trials Day.

File Upload

If possible, please include a headshot of your nominee

LinkedIn Profile

Nominator Information

Your Name

First Name

Last Name

Credentials

Email Address

Title and Organization

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