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Scientific
Evaluation and Prioritization Committee (SEPCOM) Application Form (Updated 02/15/2011)
- Please use this form for
all studies requesting GHUCCTS and/or Georgetown University Clinical
Research Unit resources
- Please email your completed form
to gcrcadmin@georgetown.edu
and fax the signature sheet to 202.444.4114, email a .pdf copy, or
deliver it to GCRC administrative offices in M7201.
- As part of your
application package, please also provide a copy of the full
protocol, IRB application, informed consent form and/or assent form,
study budget, and IRB approval letter (if available at the time of
GAC submission).
- For questions about this
application, please contact Haewon Park
at 202.444.2793 or hp47@georgetown.edu.
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Link to Protocol Design Template,
courtesy of University of Pennsylvania School of Medicine Office of Human
Research. This template is to be used as a reference aid.
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GCRC Appointment Form (Updated 02/01/2008)
GCRC
Appointment Request Instructions (Updated 02/01/2008)
- Please fax your completed form
to 202.444.1505.
- For scheduling questions,
please contact Shaunagh Browning at 202.444.2639 or brownins@georgetown.edu.
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Data and Safety Monitoring Plan
- This form has been
incorporated into the IRB application. If you have completed the
most recent IRB application, this form is not required.
- For questions about Data
and Safety Monitoring Plan, please contact Judith Baigis at baigisj@georgetown.edu.
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Data
and Safety Monitoring Instructions
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Pre-Award Budget Process
- For questions about your
GCRC patient care estimates, please contact Haewon Park
at 202.444.2793 or hp47@georgetown.edu
.
- For general questions
about your clinical trials budget, please contact Pamela Rampersaud,
at the Clinical Trials Office, at pr36@georgetown.edu
.
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Instructions to View GCRC Nursing Staff Schedule
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