APPLICATION FORM

To apply, please complete this form and click the submit button below. You will receive an email confirmation when we have received your application.

If you have questions or have difficulty submitting this application, please contact us at: owen.kim@cshs.org

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ATTENDANCE OPTION


PERSONAL INFORMATION OF PRINCIPAL INVESTIGATOR












(a confirmation email will be sent to this e-mail address)
EDUCATION

(Note: Only applicants who have completed a doctoral degree are eligible to apply)
















PROFESSIONAL EXPERIENCE (two most recent)
















Note: Maximum of 1000 characters allowed (approx. 100 words)




Note: Maximum of 2000 characters allowed (approx. 200 words)


GRANT / PROTOCOL SYNOPSIS

Students will have time to develop their own clinical protocol or grant proposal in a small-group, mentored setting. To apply for the workshop, students should submit their synopsis using the space provided below.

Note: Each section has a maximum number of characters as noted below


Note: Maximum of 500 characters allowed (approx. 50 words)




Note: Maximum of 500 characters allowed (approx. 50 words)






The following section titles must be used: 1) Study Objective; 2) Background/Rationale; 3) Study Design and Duration 4) Primary Outcome Measure; 5) Secondary and Exploratory Outcome Measures; 6) Study Population; 7) Inclusion Criteria; 8) Exclusion Criteria; 9) Intervention Administration; 10) Safety Considerations and Monitoring; 11) Sample Size and Power; 12) Analysis Plan.

Note: Maximum of 6500 characters allowed (approx. 1000 words)





Note: Maximum of 6500 characters allowed (approx. 1000 words)

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Thank you


If you have questions or have difficulty submitting this application, please contact us at: owen.kim@cshs.org