Event Calendar

CCRP Reinstatement Application

You may apply for reinstatement by completing the reinstatement application (below) or download and mail in a PDF of the reinstatement application ($50 processing fee + the cost of recertification).
Review the Certification Maintenance requirements and Recertification requirements.
Complete the ‘Regulatory Updates for Clinical Research Professionals’ education module (and submit your certificate of completion on file).
Please assure that your CE log is accurate and successfully complete.
You must submit your CE Log and certificate of completion for the online education module, ‘Regulatory Updates for Clinical Research Professionals’.

Note:

Fees are in U.S. dollars.
You will be charged a $50 reinstatement processing fee and $200 recertification processing fee (includes one year membership)
The recertification fee is nonrefundable.
SOCRA is an educational non-profit membership organization (corporation) - Federal Tax ID #61 1208981.
Note: SOCRA is an educational and charitable non-profit corporation (Federal Tax ID # 61-1208981); however, your dues are not tax deductible as a charitable contribution.

Member ID

Name Prefix

Name

First

Middle Initial

Last

Degrees

Certifications

Title

Company / Affiliation

Address Line 1

Address Line 2

City/State/Zip

City

Zip/Postal Code

Province (Outside US/Canada)

Country

Office Phone

Cell Phone

Fax

Email Address

Reinstatement Portfolio

Regulatory Updates Certificate of Completion

You must successfully complete the online continuing competence module in order to submit your online reinstatement application. Please review the Recertification Requirements for details. Attach your certificate of completion for the module here.

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

Select only if you wish to OPT OUT of being included in the CCRP directory (By selecting this, you also opt out from having access to the 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

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

Name on Card

First Name

Last Name

Billing Address

Street Address

Zip/Postal Code

Credit Card

Card Number

CCV Code

Expiration Date

Amount