SPRIA Application

Sites are invited to submit an innovative recruitment plan executed within the last two years. All applications will be reviewed by an independent judging panel of industry stakeholders. All sites are invited to submit their recruitment plans for the SPRIA. The top 3 finalists, selected by our independent judging panel, will be invited to attend the 2019 Global Site Solutions Summit with a complimentary registration. The finalists will present their innovative recruitment plans to an audience of sites, sponsors, and CROs attending the Global Summit. Sites desiring to be considered for the award and recognition must submit the following information by August 23, 2019.

Finalists will be notified by August 30, 2019.

Site Name *

Name of Person Submitting *

Email *

Phone *

What best describes the type of site? *

Academic

Hospital

Practice/Clinic

Freestanding

State and Country of your site *

Therapeutic Area of Study *

Type of IRB that approved your study *

Local

Central

Was the site compensated for screening visits? *

Yes

No

Was the patient compensated for their screening visit? *

Yes

No

Was the site compensated for screen failures? *

Yes

No

What was the total recruitment budget the site spent? *

What percentage of the recruitment budget spent was provided by

The sponsor (%) *

The site (%) *

Site’s enrollment goal for the study (per the sponsor or contract) *

Number of patients the site actually randomized *

Actual site enrollment timeline *

If marketing material was created, was compensation for patient participation indicated? *

Yes

No

Whose decision was it to not include this information? *

Site

Sponsor/CRO

IRB

OtherOther

Was an independent recruitment vendor used? *

Yes

No

If yes, who engaged their services? *

Site

Sponsor/CRO

Explain how you utilized their services *

How many of the randomized patients from your site were provided by the patient recruitment vendor? *

Provide an overview of your site’s recruitment plan, with as much detail and samples of collateral material used as you would like to include. Please indicate if collateral material was created by the site, sponsor, or vendor. *

Logo Upload *

Maximum upload size: 5MB

Company Bio (150 words max) *

If chosen as a finalist, please list the name and title of the presenter *