PPCR 2020 July Workshops
Welcome to the Principles and Practice of Clinical Research 2020 July Workshops application. Only submit this form if you want to apply for the July 2020 workshops held online. If you would like more information before applying or have questions about this application, please contact us at 2020coordinator@ppcr.org.
*Please complete all fields using standard format of capital letters at the beginning of words and lower case for remaining
Personal Information
First Name (*)
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Middle Name
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Last Name (*)
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Full name as it appears on your passport
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Preferred First Name (*)
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Country of Citizenship (*)
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Street Address (max. 60 characters) (*)
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City (*)
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Country
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State
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Zip Code
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Phone Number (Numbers only, no symbols please) (*)
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Email Address (*)
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Re-enter your email address (*)
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What is your date of birth (DD-MMM-YYYY)
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Highest Degree (*)
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University of Highest Degree (*)
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Year of Graduation (*)
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Current Position (*)
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Current Institution (*)
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Specialty (*)
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What year did you take PPCR? (*)
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Select each workshop you are applying for. (*)

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All requests for cancellations must be made in writing. Cancellations on or before June 30, 2020 will be issued a refund less a $150 administrative fee per person. Cancellations received between June 30, 2020 and July 15, 2020 will be issued a refund of 50%. After July 15, 2020, no refund will be issued. There will be no exceptions to this policy.

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