Screen Reader Mode Icon

Application Deadline: July 25, 2022

Thank you for your interest in the ALS Clinical Research Learning Institute® (CRLI). Coordinated by the Northeast Amyotrophic Lateral Sclerosis Consortium® (NEALS), the ALS-CRLI is a two-day program that empowers attendees to be strong advocates in the field of ALS by educating them on clinical research and the therapy development process. Certification as an ALS Research Ambassador® provides opportunities to influence and improve the ALS research process.

The 2022 NEALS CRLI will take place November 3 - 4, 2022 in Clearwater Beach, Florida. People living with ALS, caregivers, and family members residing in North America who have not attended a previous 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 one-night hotel stay.

All applications are due Monday, July 25, 2022. If you have any questions, please contact Carly Allen, NEALS Communications and Outreach Manager, at callen@neals.org.

Question Title

* 1. Contact Information

Question Title

* 2. What is your relation to ALS?

Question Title

* 3. Have you previously attended an ALS Clinical Research Learning Institute?

Question Title

* 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:

Question Title

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

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

Question Title

* 6. People living with ALS that are selected to attend the November 2022 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:

Question Title

* 7. Please note that you must provide proof of vaccination to attend the November 2022 ALS-CRLI in person. At minimum, 2-dose series of an mRNA COVID-19 vaccine (Pfizer-BioNTech or Moderna), or a single-dose COVID-19 vaccine (Johnson & Johnson’s Janssen vaccine) will be required.

Question Title

* 8. Spots are limited for each CRLI. If you're not selected to attend the November 2022 ALS-CRLI, would you like to be notified about future CRLI opportunities?

0 of 8 answered
 

T