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Application Deadline: Monday, July 15th, 2024

Thank you for your interest in the ALS Clinical Research Learning Institute® (CRLI). Organized by the Northeast Amyotrophic Lateral Sclerosis Consortium® (NEALS), the ALS-CRLI is a two-day program designed to provide education and training to individuals impacted by ALS who are interested in clinical research and the therapy development process. Individuals who complete the ALS-CRLI program are considered ALS Research Ambassadors and are eligible to participate in opportunities that influence and improve the ALS research process.

The 2024 NEALS CRLI will take place October 19th & 20th in Clearwater Beach, Florida. Individuals impacted by ALS who reside in North America and have not yet attended a CRLI are encouraged to apply! For more information about the CRLI program, please visit the NEALS website.

People living with ALS who are accepted into the program will be invited to bring one caregiver or family member. NEALS will cover the cost of travel for both participants and a two-night hotel stay.

All applications are due by 5:00pm EST July 15th, 2024. Please note that there are limited spots available for the in-person ALS CRLI program. If you have any questions, please contact Christina Smith, NEALS Communications Coordinator, at csmith@neals.org.

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* 1. Contact Information

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* 2. What is your connection to ALS?

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* 3. Have you ever participated in an ALS Clinical Research Learning Institute, either virtually or in person?

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* 4. Please describe why you would like to participate in an ALS Clinical Research Learning Institute and why you think you would make a great ALS Research Ambassador. Tell us about qualifications, experience, and plans for utilizing this training.

Please note that your response to this question will be given significant consideration in the selection process.

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* 5. Applicants are welcome to upload a letter of support from their ALS clinic, a personal recommendation, or other supporting documents here:

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* 6. If you would like to share something else that illustrates who you are in your community, please feel free to include here (optional):

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* 7. People living with ALS that are selected to attend the October 2024 ALS-CRLI will be invited to bring one caregiver or family member to attend the meeting with them. Please provide contact information for the additional attendee here:

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* 8. Spots are limited for each CRLI. If you're not selected to attend the October 2024 ALS-CRLI, would you like to be notified about future CRLI opportunities?

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