Become a Speaker

SOCRA is accepting Speaker Abstracts for the 28th Annual Conference!

SOCRA 2019 Annual Conference

Dates: September 27 to 29, 2019

Location: Grand Hyatt San Antonio, San Antonio, TX

Click HERE for the downloadable PDF speaker enrollment form. Please complete this form and email to annualconference@socra.org.

Please note:

All topics related to regulatory and operational areas of clinical research as well as study related experience will be considered
Successful applicants will receive a fee waived annual conference registration
Enrollment forms must be received by July 31, 2019 for consideration
Successful applicants will be contacted in the winter of 2018/2019.

Please direct any questions to the SOCRA office by phone at 215-822-8644 or 1-800-762-7292

Speaker Information

Prefix

Dr.

Mr.

Ms.

Speaker Name

First Name

Middle Initial

Last Name

Degrees/Credentials

Company/Affiliation

Position/Title

Department

Address Line 1

Address Line 2

City/State/Zip

City

State/Province

Zip/Postal Code

Province (outside US/Canada)

Country

Phone

Fax

Alt Phone

Presentation Details

Title of Talk

Suggested Track/Session Title

Overview of Talk (three or four sentences - NO more than 150 words)

Objective of Presentation (One sentence – Should specify what the learner will know or do once the objective have been completed ie, "Discuss elements of informed consent") The Participant will be able to:

If "yes" - please explain restricted availability

If "yes" - please list special needs

If "yes" - please list requested support

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