ISARIC membership application

Please note that we will only consider applications from clinical research networks that match all three eligibility criteria below:

1. Led by clinical scientists (not necessarily doctors)

2. Active in patient-based research in epidemic-prone infectious diseases

3. Consists of, or have direct access to, two or more clinical research sites

If you are not sure if you are eligible or have any other questions, please get in touch with us at gsc@isaric.org

ISARIC membership application form

Contact Details

Please note that the Contact Person indicated below will be considered the Board Representative for your network. Please contact the ISARIC Global Support Centre should you wish for someone else to represent the network in ISARIC’s governing body.

First name and family name of the contact person representing your network: *

Institutional affiliation *

Institutional affiliation postal address *

Phone number *

Email address *

Is the contact point the same as the principal investigator/director (If 'No', please fill in next section): *

Yes

If you answered 'No' to the previous question, please provide the name of the principal investigator below

Name *

Please confirm the Principal Investigator's Institutional Affiliation *

Principal Investigator's postal address: *

Principal Investigator's phone number: *

Principal investigator's email address: *

Are you/your organisation on social media? If so, please share the social media links/handles below *

ISARIC membership application

Please note that we will only consider applications from clinical research networks that match all three eligibility criteria below:

Contact Details

Network Information

Data protection & Declaration

ISARIC membership application

Please note that we will only consider applications from clinical research networks that match all three eligibility criteria below:

Contact Details

Network Information

Data protection & Declaration

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