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VSCA RGSE Committee - Research Recruitment Request
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email address
*
Your answer
Name of Study
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Your answer
Please list all authors, starting with the lead.
*
Your answer
Are you a doctoral student?
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Yes
No
If yes, please list your institution and your chair's name.
Your answer
IRB Approval Number
*
Your answer
VSCA Membership Number
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Your answer
Starting date of recruitment
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MM
/
DD
/
YYYY
Ending date of recruitment
*
MM
/
DD
/
YYYY
Please write 2-3 sentences describing your study and include a link for participants to learn more information (CFP/recruitment flyer, IRB approved content, etc.). If approved, this will be sent to members.
*
Your answer
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