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Question 1 of 14
Your Name
Question 2 of 14
Your Best Email
Question 3 of 14
Your Best Phone Number
Question 4 of 14
Current roles and Years of experience (for example, Clinical Assistant - 2 years)
Question 5 of 14
Which best describes your current level?
Aspiring CRA (No Prior CRA Experience)
Current site coordinator/research assistant
Current in-house CRA/study manager
Other clinical research role
Non-Clinical Background
Question 6 of 14
Why do you want to become a CRA? (2-3 sentences is perfect)
Question 7 of 14
Have you worked in Clinical Research before?
Yes
No
Question 8 of 14
What Tier are you applying for?
Tier 1: CRA Foundations ($2500)
Tier 2: CRA Career Accelerator ($4500)
Tier 3: CRA Career Launch + 90 Days OJT ($6,997)
Question 9 of 14
Can you commit 4-6 Hours weekly for training?
Question 10 of 14
Are you able to invest in your career growth?
Yes, I'm ready to invest in myself now
Yes, with a payment plan
Not sure yet, need financial loan details
Question 11 of 14
How soon are you looking to start?
ASAP- I want to join the next cohort
Within 1-3 Months
3+ months from now
Question 12 of 14
Areas you need help with (check as many that apply)
CRA Technical skills and simulations
Resume and LinkedIn Optimization
Job search and interview coaching
90 Days on the job mentorship
Career growth strategy
Question 13 of 14
How did you hear about his program?
Referral
LinkedIn
Email
Others
Question 14 of 14
Anything else you want us to know about you? (share your goals, challenges or special request)