Certified Clinical Research Coordinator Application
About this free form template

Advance Your Career as a Certified Clinical Research Coordinator

Clinical research is the foundation of medical advancement, and Certified Clinical Research Coordinators (CCRC) play a pivotal role in ensuring studies are conducted safely, ethically, and in compliance with Good Clinical Practice (GCP) standards. Whether you're already working in clinical research and seeking formal certification, or transitioning from a related healthcare role, the CCRC credential demonstrates your expertise and commitment to excellence in the field.

This Certified Clinical Research Coordinator Application template streamlines the certification application process, making it simple for candidates to submit their credentials, training documentation, and professional experience in one organized, professional form. Built with Paperform, this template goes beyond basic data collection—it's designed to create a seamless, on-brand experience that reflects the professionalism of your certification body or training organization.

Why use Paperform for certification applications?

Healthcare certification programs, professional associations, and training organizations need more than just a basic survey tool. You need a platform that can handle complex applications with file uploads, conditional logic, payment processing, and secure data management—all while maintaining a polished, trustworthy appearance.

With Paperform's doc-style editor, you can customize every element of this certification application to match your organization's branding. Add your logo, adjust colors and fonts, include explanatory text about certification requirements, and embed videos about the ACRP exam process—all without touching a line of code. The form can live on your website as an embed or on its own custom domain, providing a professional experience from start to finish.

Built for clinical research certification workflows

This template is specifically designed for Clinical Research Coordinator certification applications and includes fields for:

  • Applicant information and credentials – Capture full professional details including current certifications, licenses, and educational background
  • GCP training verification – Collect training completion dates, certificate uploads, and provider information to verify Good Clinical Practice compliance
  • Research study experience – Document hands-on clinical trial experience including study phases, therapeutic areas, and sponsor types
  • ACRP exam registration – Gather exam scheduling details and track candidates through the certification journey
  • Supporting documentation – Accept CVs, training certificates, verification letters, and other required materials

The conditional logic built into this template ensures applicants only see relevant fields based on their experience level and certification pathway. For example, those with extensive research experience might skip certain training requirement questions, while newer coordinators are guided to provide additional documentation.

Payments, document signing, and workflow automation

Beyond application submission, Paperform helps you manage the entire certification lifecycle:

Accept application fees directly in the form using Stripe, PayPal, or Square integration. Set up tiered pricing for members vs. non-members, early bird registration discounts, or bundled packages that include study materials. All payment data is securely processed and linked to each application.

Route applications for review using Stepper (stepper.io), Paperform's AI-native workflow builder. Automatically send complete applications to your certification review committee, flag incomplete submissions for follow-up, update your CRM or database, and trigger personalized email sequences based on application status—no coding required.

Collect signatures for certification agreements using Papersign (papersign.com). Once an application is approved, automatically generate certification agreements, code of conduct acknowledgments, or continuing education commitments and send them for secure eSignature, keeping everything traceable and compliant.

Perfect for certification bodies, training providers, and professional associations

This template is ideal for:

  • Professional certification organizations like ACRP, SoCRA, and CCRA offering CCRC credentials
  • Academic medical centers providing internal clinical research certification programs
  • Contract research organizations (CROs) verifying coordinator qualifications for study staffing
  • Clinical research training institutes managing certification candidate applications
  • Healthcare staffing agencies pre-qualifying clinical research professionals

Whether you're processing 10 applications per month or 1,000, Paperform scales with your needs while maintaining the same professional experience for every candidate.

Security and compliance for healthcare applications

When handling sensitive professional and educational data, security isn't optional. Paperform offers SOC 2 Type II compliance, data encryption, SSO, and configurable data residency controls to meet the stringent requirements of healthcare and professional certification bodies.

While Paperform is not HIPAA compliant (this application collects professional credentials, not protected health information), it provides enterprise-grade security features through roles and permissions, audit logs, and secure file uploads—giving you and your applicants confidence that their information is protected.

Streamline certification management with integrations

Connect this certification application to the tools your organization already uses. Send approved applications to Salesforce or HubSpot for candidate relationship management, log submissions in Google Sheets or Airtable for committee review, notify your team in Slack when new applications arrive, or trigger automated workflows in Stepper, Zapier, or Make to keep your certification process running smoothly.

Get started in minutes, customize forever

This template is ready to use immediately, but Paperform's flexibility means you can adapt it to your specific certification requirements. Add questions about subspecialty certifications, create multi-page sections for different credential levels, integrate with your existing applicant tracking system, or build entirely custom calculation logic for scoring applications—all in the same intuitive editor.

Trusted by over 500,000 teams worldwide and SOC 2 Type II & GDPR compliant, Paperform is the professional form platform for certification bodies, training organizations, and healthcare associations that demand more from their applications.

Start processing Clinical Research Coordinator certification applications with confidence, professionalism, and the automation you need to scale.

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logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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