Name Institution Title/Position Role in this Study Has completed Date Human Comments (Include credentials) (e.g., statistician, human subjects Subjects data training as Training analyst, obtaining mandated by their Completed consent) assured external Institution?(Yes/No) (within the past 3 years) (If institution is not assured, a certificate from this NIH course must be supplied: )
Name (Include credentials) Institution Title/Position Role in this Study (e.g., statistician, data analyst, obtaining consent) Has completed human subjects training as mandated by their assured external Institution?(Yes/No) (If institution is not assured, a certificate from this NIH course must be supplied: ) Date Human Subjects Training Completed (within the past 3 years) Comments
External_Team_Member_Template.docx