| Event | 2018 Introduction to Clinical Research Boot Camp | 
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| Select your track | Faculty Track ($100.00) | 
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| About You |  | 
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| Name | Juliane Gust | 
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| Email address | Email hidden; Javascript is required. | 
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| Phone | (206) 330-7728 | 
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| Appointment | Not Applicable | 
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| Institution | Seattle Children's Hospital | 
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| Department | Neurology | 
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| Position/Title | Child Neurology Resident | 
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| What prior experience do you have as an investigator for clinical trials? | Co-investigator (named in protocol but not PI) for an investigator-initiated trialLocal PI (not national PI) for an investigator-initiated trial
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| What types of clinical research have you been involved in? | Investigator initiated clinical trialsObservational
 | 
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| How did you hear about the event? |  | 
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| Day 1 | Tuna Nicoise Salad (GF) | 
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| Day 2 | Tuna Nicoise Salad (GF) | 
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| Total | $100.00 | 
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| How will you remit payment? | Credit/Debit Card | 
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| Name as it will appear on the credit/debit card you will use. | Juliane Gust | 
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| Internal Use Only |  | 
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| Transaction ID | 180518A43-E9968984-C5B8-4F65-86A6-CA2DEC622376 | 
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| Registration ID | BC18d806e | 
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| Entry ID | 8962 | 
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| Entry Date | May 9, 2018 | 
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