| Event | 2018 Introduction to Clinical Research Boot Camp | 
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| Select your track | Research Staff Track ($50.00) | 
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| About You |  | 
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| Name | Mehrdad Shakib Azar | 
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| Email address | Email hidden; Javascript is required. | 
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| Phone | (206) 667-1429 | 
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| Appointment | Not Applicable | 
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| Institution | Fred Hutchinson Cancer Research Center | 
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| Department | Autologous transplant | 
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| Position/Title | Data Coordinator | 
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| How many years have you been working in clinical research? | 0-2 | 
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| What types of clinical research have you been involved in? | Industry sponsored clinical trials
 | 
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| What have been your primary tasks? | Institutional Review Board submissionsData management
 | 
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| How did you hear about the event? |  | 
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| Day 1 | Roast Beef with Cheddar Cheese | 
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| Day 2 | Roast Beef with Cheddar Cheese | 
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| Total | $50.00 | 
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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. | Mehrdad Shakib Azar | 
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| Internal Use Only |  | 
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| Transaction ID | 090518E3C-1E436E5B-F2BB-4983-9BB1-19C70E7C8079 | 
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| TxnReferenceNumber | 510030902 | 
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| Registration ID | BC188c37a | 
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| Entry ID | 8989 | 
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| Entry Date | May 9, 2018 | 
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