Please list key personnel who will be involved in this trial. Attach a separate sheet if necessary. Role Name Title Phone Fax Email Address - - - - Coordinator Research - - - - Nurse Research - - - - Manager - - - - Contact - - - - s this information needed for subinvestigators?)phoblastic Leukemia)e at other institutions. rrent trials falling into this car PART III: Subject Enrollment Please provide information on open trials and subject enrollment for the cohort(s) covered by this trial. Are there any competing trials Cohort Expected accrual per trial currently open at your institution? Yes No Yes No PART IV: Facility Participation in this is subject to your institution’s ability to comply with the following protocol-specific facility requirements (*to be completed by the Coordinating Center as necessary): Confirmation that site is capable of Procedure* Specific facility requirement* complying (to be completed by the external site) Yes No Yes No PART V: Contracts Does your institution require indemnification and subject injury coverage in order to participate in an academic Investigator-Sponsored clinical trial? Yes No
Please list key personnel who will be involved in this trial. Attach a separate sheet if necessary. Role Name Title Phone Fax Email Address Coordinator - - - - Research Nurse - - - - Research Manager - - - - Contact - - - - - - - - s this information needed for subinvestigators?)phoblastic Leukemia)e at other institutions. rrent trials falling into this car PART III: Subject Enrollment Please provide information on open trials and subject enrollment for the cohort(s) covered by this trial. Cohort Expected accrual per Are there any competing trials currently open at your institution? Yes No Yes No PART IV: Facility Participation in this trial is subject to your institution’s ability to comply with the following protocol-specific facility requirements (*to be completed by the Coordinating Center as necessary): Procedure* Specific facility requirement* Confirmation that site is capable of complying (to be completed by the external site) Yes No Yes No PART V: Contracts Does your institution require indemnification and subject injury coverage in order to participate in an academic Investigator-Sponsored clinical trial? Yes No
Site_Feasbility_Questionnaire.docx