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Apply Online

Before you submit this form:

Review the Certification Maintenance requirements and Recertification Application requirements.
Complete the Regulatory Updates for Clinical Research Professionals online education module (and keep your certificate of completion on file).
Please assure that your CE log is accurate and successfully complete.
Review that your Recertification Application Portfolio is complete before submitting your online application below. SOCRA will NOT accept applications that are incomplete.

Note:

Fees are in U.S. dollars.
The recertification fee is nonrefundable.
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.

Apply Online

Member ID

Name Prefix

Name

First

Middle Initial

Last

Degrees

Certifications

Title

Company / Affiliation

Address

Address Line 2

City/State/Zip

City

Zip/Postal Code

Province (outside US/Canada)

Country

Office Phone

Cell Phone

Fax

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Recertification Portfolio

Regulatory Updates Certificate of Completion

You must successfully complete the online continuing competence module in order to submit your online recertification application. Please review the Recertification Requirements for details.

Regulatory Updates Certificate of Completion

Attach your "Regulatory Updates for Clinical Research Professional" online education module certificate of completion

Completed CE Log

Attach your completed CE Log spreadsheet. Please keep your supporting documentation on file in the event that you are audited

CCRP Directory

List my name in the CCRP and membership directory
DO NOT list my name in the CCRP and membership directory

As a certified clinical research professional, you are included in SOCRA's online directory of CCRP certified clinical research professionals.

Attestation of Honesty

I agree to the above terms. I hereby certify that hours claimed pertain to my current work in clinical research or further enhanced my clinical research knowledge and research abilities.

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

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Credit Card

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