Recruitment Consultation Request Form Clinical Research Recruitment Program

Recruitment Consultation Request Form

Clinical Research Recruitment Program

The Clinical Research Recruitment Program is part of the Office of Clinical Research Operations and Services and offers free one-hour recruitment consultations to CU research teams to help strategize recruitment and retention efforts for their studies.

This brief consultation request form asks for relevant study information in order for our team to adequately prepare for the consultation meeting. The information, details, and study related materials that you provide the better.

For additional recruitment resources, check out our website!

What is your first and last name?*

What is your email address?*

What is the PI's first and last name?*

What is the PI's email address?*

Are you ONLY interested in social media advertising for clinical research recruitment?*

Yes

STOP: DO NOT SUBMIT THIS FORM IF YOU ONLY NEED ASSISTANCE WITH A SOCIAL MEDIA CAMPAIGN.

The Clinical Research Recruitment Program is happy to help research teams develop social media campaigns for clinical research recruitment. There are both paid and unpaid social media advertising options, we can help with either. The paid option is just the cost for running the ads on Meta Ad Manager, not for our services to develop the ads, once again that is free.

If you only would like assistance with developing a social media campaign, please submit the social media intake form.

For more information about social media campaigns for clinical research recruitment, please check out our website.

What type of recruitment support are you interested in?*

Recruitment materials (e.g., flyers)

Print advertisements (e.g., newspaper ads)

CU Anschutz Research Studies Website study webpage content

Community engagement strategies

Strategies for underrepresented groups

Recruitment database creation

Other

Please complete the Social Media Intake Form in addition to this request.

If you would like assistance with developing a social media campaign, please submit the social media intake form.

For more information about social media campaigns for clinical research recruitment, please check out our website.

Please specify*

Would you like a consult about a specific study?*

Yes

How many studies would you like to discuss?*

Brief description*

Please describe what you would to discuss during the consultation meeting. The more information your provide the better. If you would like to talk about multiple studies, please provide as much details about the studies as possible and be sure to upload the study protocols, flyers, and any other relevant documents.

Study title*

COMIRB number (if available)*

Brief study description*

Please describe the study in as much detail as possible primarily focusing on recruitment and retention efforts including challenges and successes that your study team has had.

Target population*

Please include demographic information such as age, gender, health condition, diagnosis, geographic area, main inclusion/exclusion criteria, etc.

Current recruitment plan*

Please describe your current recruitment efforts including recruitment methods (social media, flyers, electronic methods, etc), locations, materials, and study team members responsible for participant recruitment.

Do you have specific funds dedicated to recruitment and retention of study participants? If so, how much?*

Have you started enrolling participants?*

Yes

How long have you been enrolling participants?

What are your key recruitment goals?*

(e.g. Recruit 10 qualified participants by Sept. 30.)

When do you anticipate starting enrollment?

How should we get in touch?*

My outlook calendar is up to date. Find a time and send me a meeting invite.

Email me to set up a time.

These are the times that work for me to meet. Send me an invite (please provide at least 3 dates and times.).

Dates and times available *

Please provide at least 3 dates and times.

Document Upload Section

Please upload any relevant study documents that will provide our team necessary information regarding the study and recruitment strategy. The information that is provide in this submission form and uploaded as files the better prepared our team will be for the consultation meeting.

At a minimum we need the study protocol, recruitment plan, and any recruitment flyers or other advertising materials. These documents will need to be received at least a week prior to the recruitment consultation.

Please note you should be able upload multiple files by dragging and dropping them below.