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Application for CACRS Re-Certification

Preferred Mailing Address (Check One):

APPLICATION CHECKLIST

Please check each box indicating your agreement that each specific task is complete PRIOR to submitting the application.

Professional Development Tracker

Please Note: You must include this Professional Development Tracker with your application to prevent delays in processing. The application will not be processed without this completed tracker. Whilst backup documentation is not required to be sent with the application, please maintain evidence of all claimed credit (certificate, receipt, agenda etc.) in case your application is selected for audit

APPLICATION AGREEMENT

The signing and submission of this application indicates you have read and understand the CACRS policies and procedures contained in the CACRS Recertification Guide. Your signed application submission also signifies agreement that the information submitted in this application is complete and accurate and that you agree to comply with the terms of a CACRS recertification Program Office audit. The CACRS Program Office reserves the right to audit up to 5 percent of submissions each year. You will be contacted if you are among those randomly selected and will be required to follow up with the documentation supporting your list of clinical research professional activities and associated credits.

I also hereby understand and agree to the privacy policy provided on CACRS.com

Questions? Please contact CACRS (Canadian Association of Clinical Research Specialists) at: certification@cacrs.com