CCRP Application

Before you submit this form:

 

  • Review the Certification Program overview, Policies and Procedures, CCRP Exam information, Certification Maintenance requirements and Recertification information.
  • Review the program eligibility requirements and assure that you meet the requirements for the Eligibility Category that you select. If you are unsure if your academic program qualifies under these categories, please contact the SOCRA office.
  • Review all Application Procedures. SOCRA will NOT accept applications that are incomplete or submitted after the testing registration deadline.
  • Review the Application Portfolio requirements and assure that your Application Portfolio (compiled in to ONE PDF file) is complete and includes the following:
    • Resume / CV
    • Verification of Employment Letter(s)Job Description(s)
    • Disability or Special Testing Needs Request along with written confirmation from a physician. Persons with physical, sensory, or learning disabilities should contact the SOCRA office before applying to discuss testing requirements.
    • Category 2 applicants must ALSO include the following in their application portfolio:
      • SOCRA Form 1011 AND
      • All requested documentation indicated on Form 1011
    • Category 3 applicants must ALSO include the following in their application portfolio:
      • SOCRA Form 1022  AND
      •  All requested documentation indicated on Form 1022

Note:

  • Fees include complimentary membership in SOCRA, upon successful completion of the CCRP exam.
  • Fees are in U.S. dollars.
  • For qualified applicants who apply for an examination, the fee is nonrefundable. The fee is refundable if the application process is unsuccessful.
  • ADA - This program is accessible to persons with disabilities.  Please review our special needs policy and contact the SOCRA office to discuss your needs before submitting your application. Please list any special needs in the area indicated in the registration form.
  • If for any reason this examination cannot be held, SOCRA is not responsible for costs incurred by attendees, such as airfares, or hotel or other reservations.
  • SOCRA is an educational non-profit membership organization (corporation) - Federal Tax ID #61 1208981; however, your dues are not tax deductible as a charitable contribution.

Your Info

First Name

Middle Initial

Last Name

City

State/Province

Zip/Postal Code

Portfolio

Once certified, you will be automatically included in SOCRA's online directory of CCRP certified clinical research professionals.

Testing Information

Special Testing Needs for persons with physical, sensory, or learning disabilities.
By submitting this application and portfolio, I attest that the information provided is accurate and understand that falsification or misrepresentation of my application information will invalidate my certification status.

Payment Information

First Name

Last Name

Expiration Month

Expiration Year

$0.00