APTO SIG membership application APTO SIG membership application Title Name Name First Name First Name Last Name Last Name Work address City State Post code Country Work Phone Email Please list the organisation(s) you are employed by or affiliated with Current position title Which one of the following professional categories do you represent? (please select one only) Project Manager Clinical Trial clinician Other (please specify): What best represents your involvement in Adaptive Platform Trials? Planning staged of an APT Currently working on an APT Previously worked on an APT Neither – here for interest only Other (please specify): Please indicate which Platform Trial(s) you are currently involved in (name/abbreviation and URL if possible). If none, please write “none”. What are you hoping to get out of the APTO SIG membership, and how are you intending to contribute to the group? Would you like to be added to our monthly ACTA newsletter to stay on top of sector news and events? Yes No Submit If you are human, leave this field blank. Δ
