Medidata Global Partner Program Application

Thank you for your interest in the Medidata Partner Program.

Because we recognize the value of our partners, we are continuously striving to improve these relationships. These efforts have lead to the development of web-based materials, forms and eLearnings to make the program available in a way that is more flexible, on-demand and of lower cost to partners.

Please fill out the brief form below to begin the application process. An authorized representative from your organization will need to accept the terms and conditions at the end of the form. You will be contacted within 2 business days from submitting the application.










The country in which your company is headquartered.






Your title within the company.


Your department or functional area within the company.


Approximate number of employees in your company.



Indicate the market geography that drives most of your company's revenue. If there is no clear primary region, then select "Multiple Geographies". Use the check-boxes below to indicate all the regions where your company does business.







Indicate the market segment that drives most of your company's revenue. If there is no clear primary segment, then select "Multiple Segments". Use the check-boxes below to indicate all the segments in which your company does business.








Estimated AGR for last year.




How many study starts do you have each year that would be suitable for paper?


How many Phase I studies do you start each year?


How many Phase II/III studies do you start each year?


How many Post-Approval studies do you start each year?


Please specify any partnerships you have with other EDC technology providers.


What are your organization's strengths that differentiate it from other competitors in your market segment(s)? What helps you win business?



If there is a particular therapeutic area that your company is focused on, indicate that here. Use the check-boxes below to identify all therapeutic areas in which your company is active.



















Use the check-boxes below to identify the various clinical service offerings that your company provides.













Medidata delivers a cloud-based platform of innovative tools, data-driven metrics and system interoperability, all designed to optimize clinical trials from concept to conclusion. Please identify the Medidata Clinical Cloud applications that interest your organization at this time?


Build better execution right into your study design and budget.




Make life better for your site partners and for you.





Unleash the power of patients as partners.



The world’s leading cloud solution for executing clinical trials faster, safer and at lower cost.







How many employees do you expect will participate in Medidata training as part of the partner accreditation process?




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