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Continuing Education Grant Application

Your Name(Required)
Your Address(Required)
Your Email Address(Required)
This email address MUST match the email address in your ACRP Account. Creating an ACRP Account is required to apply.
Applicants must explicitly attest to their intention to contribute to the clinical research field, verifying your commitment to a career in clinical research.(Required)
I attest that I plan to pursue a career in clinical research and am committed to contributing to the field.
Applicants must explicitly attest to their attest that they meet the eligibility criteria for the ACRP certification program that they are applying for (3,000 hours of experience).(Required)
I attest that I meet the eligibility criteria for the ACRP certification program that I am applying for.
Current Employer and Academic Program (if applicable)
Current Role or Program of Study
Years of Experience in Clinical Research
Briefly describe your current or past work in clinical research (max 200 words)
A current resume.
Accepted file types: pdf, Max. file size: 50 MB.
A letter of recommendation from a professional reference (e.g., supervisor, mentor, or faculty member) on institutional letterhead addressing why you are a strong candidate for this scholarship, your commitment to the clinical research profession, and your readiness to sit for an ACRP Certification exam.
Accepted file types: pdf, Max. file size: 50 MB.
Upload a personal statement or video introduction (maximum 2 minutes) detailing your motivation for seeking ACRP Certification, how certification will support your professional development, and how you plan to contribute to improving representation and access in clinical research.
Accepted file types: pdf, Max. file size: 50 MB.
Which ACRP Certification do you want to earn and why? How will it help you grow as a clinical research professional?
What barriers or challenges have you faced in your clinical research career, and how would this scholarship help you overcome them?
Describe a time when you contributed to improving access or representation in your workplace or community. What did you do, and what was the outcome?
How do you plan to apply your certified skills to improve clinical research practices or outcomes, particularly for communities that have been historically underrepresented in research?
Why is expanding access and representation in clinical research important to you, and how have your experiences shaped this perspective?
Eligibility(Required)
By checking the box, I attest that all information provided in this application is correct. I understand that if I have provided inaccurate or misleading information, that will jeopardize my ability to keep the scholarship funds.