Recruitment & Retention Committee Membership Application

Purpose

Information collected through this application will be used internally by Recruitment and Retention Committee leadership to create and maintain a membership roster.

For questions or concerns, please contact RRC@swog.org.

Section 1: Applicant Contact Information

Section 2: Professional Role & Practice Setting

Do you regularly interact with patients in your role?
Type of Institution Represented (check all that apply):

Section 3: Network & Professional Affiliations

Active Network Group Membership (check all that apply):
(e.g., special interest groups, advocacy organizations)

Section 4: Clinical Research Experience

Please select all areas of experience:

Section 5: Populations You Have Experience Working With

Please select all populations that apply:

Section 6: Areas of Interest in Clinical Research

Please select all areas of interest:
(e.g., outreach, partnership development, creating culturally tailored materials, engagement of specific populations)
(e.g., accrual planning, protocol development support, participation strategies, site-level problem-solving)
(e.g., study design input, leading ad hoc working groups, manuscript leadership)
(e.g., reducing health gaps, addressing social factors affecting health, working with groups experiencing barriers to research involvement)
(e.g., health policy, advocacy, grant writing, manuscript writing, health economics)

Section 7: RRC Participation Preferences

Which RRC components are you interested in participating in? (select all that apply)
Supports study teams in diagnosing accrual challenges and implementing strategies to improve participant enrollment for ACTIVE SWOG TRIALS.
Provides early consultation to study teams to integrate recruitment and retention strategies during CONCEPT AND PROTOCOL DEVELOPMENT.
Develops and delivers training, tools, and educational resources that strengthen recruitment and retention capacity across SWOG sites.
Short-term teams formed to address specific recruitment or retention challenges or emerging needs within SWOG.

Section 8: Statements of Interest

Section 9: Supporting Materials

One file only.
256 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.