Please take a moment to complete this questionnaire regarding your interest in leading an industry-sponsored trial. This information will help the Center for Women’s Health Research determine next steps for coordination with the Office of Clinical Trials, the sponsor, and administration. Once this form has been submitted a member of our staff will respond within two business days. If you are submitting a grant application, please use this form.

  • Name of Company
  • Email address for point of contact is preferred
  • Phone Number for Sponsor Point of Contact is preferred
  • Accepted file types: jpg, gif, png, pdf, doc, ppt.
  • Accepted file types: jpg, gif, doc, ppt, pdf, xls, xml, csv, ppt.
  • Accepted file types: jpg, gif, doc, ppt, pdf, xls, xml, csv, ppt.
  • Telephone or Email

If you have any questions or concerns please contact Debbie Sanabria at  debbie_sanabria@med.unc.edu or 919-843-3210. You may expect a response within two business days.