Associate PI Scheme - Study Registration Form
Please use this form to register a study for the Associate PI scheme which has been endorsed by the NIHR Clinical Research Network (Cancer, Surgery and Oral & Dental Specialty Cluster) and the Royal College of Surgeons (England) as set out in the Scheme Overview (https://docs.google.com/document/d/1ytcSsOVNZUajnTJbuGryvfcSxYJJhL3eHbD6LEamHYE/edit#heading=h.gjdgxs).

In order to be eligible for the scheme, the study must be on the NIHR's portfolio, be a surgical research study and either be led by, or co-managed by the Surgery or ENT Specialties. If you need to check this, please use this Find Clinical Research Study link:
https://public-odp.nihr.ac.uk/QvAJAXZfc/opendoc.htm?document=CRNCC_Users%2FFind%20A%20Clinical%20Research%20Study.qvw&sheet=SH75&bookmark=BM02&document=CRNCC_Users%2FFind%20A%20Clinical%20Research%20Study.qvw&sheet=SH75&bookmark=BM02
Email address *
Study Name *
Your answer
Planned Recruitment End Date *
Please note that studies are only eligible for the scheme if they have at least 6 months of recruitment left at the point of registration to the scheme.
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Name of Chief Investigator *
Your answer
Email of Chief Investigator *
Your answer
Name of Clinical Trials Unit *
This could be a registered Clinical Trials Unit or an equivalent organisation that is responsible for the management of the study.
Your answer
Name of Clinical Trials Unit Signatory *
Your answer
Role of the Clinical Trials Unit Signatory *
If other, please specify
Your answer
Email of Clinical Trials Unit Signatory *
Your answer
Name of Study Coordinator / Trial Manager *
Your answer
Email of Study Coordinator Trial Manger *
Your answer
We, the Chief Investigator and the Clinical Trials Unit Signatory, confirm that we agree to this study being registered for the Associate PI scheme and for this study to be included on the list of eligible studies which will be published on the NIHR website and communicated through a range of channels. Those wishing to apply for Associate PI status are then able to register for the scheme at the following link (https://docs.google.com/forms/d/e/1FAIpQLScv5XTwVbbRNXhru1jDU70u1bE8xw3UaHW2XCoYmQ4FIXgcvQ/viewform) with approval from their site's PI and the Study Coordinator. *
Required
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