Request Proposal

REQUEST PROPOSAL

Get in touch with Confidence Research Pharmaceuticals to discuss your project needs today.

BECOME A CLINICAL INVESTIGATOR

For Sites

Register your site with CONFIDENCE to be considered for study opportunities.

Please complete information in the form below to the best of your ability. If you cannot or don’t want to answer any of the questions, please leave them blank.

* By completing this form you agree that Confidence and Confidence’s representatives may contact you and/or your staff to discuss ongoing clinical trial opportunities. Confidence will not sell your contact information to any third party, but may provide it to (1) Clinical Trial Sponsors for further consideration your participation in clinical trials; (2) Confidence’s agents, contractors and business partners for the purpose of clinical trial conduct; (3) Confidence’s affiliates and subsidiaries; (4) Law enforcement agencies, regulatory agencies as necessary to comply with legal or regulatory obligations

Principal Investigator Name and Contact Information:

Please provide the following information about the Principal Investigator:
Number of years in Clinical Research:

Therapeutic area:

Number of industry-sponsored clinical trials conducted in the last 5 years:
Investigator 2 Name and Contact Information:

Please provide the following information about Investigator 2:
Number of years in Clinical Research:

Therapeutic area:

Number of industry-sponsored clinical trials conducted in the last 5 years:
Investigator 3 Name and Contact Information:

Please provide the following information about Investigator 3:
Number of years in Clinical Research:

Therapeutic area:

Number of industry-sponsored clinical trials conducted in the last 5 years:
Investigator 4 Name and Contact Information:

Please provide the following information about Investigator 4:
Number of years in Clinical Research:

Therapeutic area:

Number of industry-sponsored clinical trials conducted in the last 5 years:
Investigator 5 Name and Contact Information:

Please provide the following information about Investigator 5:
Number of years in Clinical Research:

Therapeutic area:

Number of industry-sponsored clinical trials conducted in the last 5 years:
Investigator 6 Name and Contact Information:

Please provide the following information about Investigator 6:
Number of years in Clinical Research:

Therapeutic area:

Number of industry-sponsored clinical trials conducted in the last 5 years:
Investigator 7 Name and Contact Information:

Please provide the following information about Investigator 7:
Number of years in Clinical Research:

Therapeutic area:

Number of industry-sponsored clinical trials conducted in the last 5 years:
Investigator 8 Name and Contact Information:

Please provide the following information about Investigator 8:
Number of years in Clinical Research:

Therapeutic area:

Number of industry-sponsored clinical trials conducted in the last 5 years:
Investigator 9 Name and Contact Information:

Please provide the following information about Investigator 9:
Number of years in Clinical Research:

Therapeutic area:

Number of industry-sponsored clinical trials conducted in the last 5 years:
Investigator 10 Name and Contact Information:

Please provide the following information about Investigator 10:
Number of years in Clinical Research:

Therapeutic area:

Number of industry-sponsored clinical trials conducted in the last 5 years:

Site Name and Address:

Please provide Contact Person information for future contact:

Site Information

Please provide the type of your site:

Please provide the following information about Study Coordinators at your site:
Total number of Coordinators at your site:

Number of Coordinators with 3+ years of experience in clinical research:

What patient age groups do you treat? (Mark all that apply)

What type of IRB / EC does your Site use?

Please enter the name of the preferred Central IRB / EC (if applicable):

How many weeks are typically required to receive IRB / EC approval?

Are there any other committees/approvals needed for your site?

If YES, please explain:

What is the typical time for your site to execute a Clinical Trial Agreement (CTA)? (weeks)

Are there any other committees/approvals needed for your site?


CONTACT

GET IN TOUCH

Redwood City

702 Marshall Street, Suite 300
Redwood City, CA 94063, USA

+1 (650) 407-1986
[email protected]

Anna Ravdel: +1 (401) 965-3377 [EST];
[email protected]

Efim Kelman: +1 (650) 575-2213 [PST].
[email protected]

career opportunities

CAREERS

Confidence’s commitment to quality is founded on its people. We recruit the best in their field and provide them with the necessary tools and training to perform to the highest standards.

If you are a dedicated professional looking for unlimited career opportunities, we’d like to hear from you.

Please submit your application and CV for future consideration through the form below, or e-mail [email protected], and we’ll contact you should a suitable opening arise.