CRO or Technology/Service Provider Template
A Template to Create a Draft Company Profile for CRO or Technology/Service Provider
Some teams prefer working with a draft before they are going to ClinEco and finalize their profile. It is completely optional.
It is suggested to fill the profile directly on the platform but if you need an extra layer of assurance, we have created the document below that includes all the fields that you would see on ClinEco’s Company Profile Form.
In order to save your work, all required fields* must be entered.
Company Name*
Company Alias*
Company Alias (this creates your unique URL within the ClinEco platform; e.g., clineco.io/your-company-alias)
What is your company's role in the clinical trial EcoSystem?*
- Clinical Trial Sponsor
- Clinical Trial Site/Site Network
- CRO
- Technology/Service provider
- Non-profit/Other
Number of employees*
- 1-10
- 10-50
- 50-200
- 200-500
- 500-5,000
- > 5,000
Year Founded (YYYY)* ____________
Company Headquarters
- Country*
- City*
- State
Company Branch Location
- Country
- City
- State
Ownership*
- Public Company
- Private Company
Optional
☐ Women-Owned
☐ Minority-Owned
Message for the EcoSystem
This is a summary about your company that will show up on your profile page, limit 1,500 characters.
My Affiliations on ClinEco
This section allows you to add up to five companies that you are affiliated with. You can select these companies from a dropdown menu, making it easy to showcase your connections within the platform.
What We Do
Select your capabilities in the order you want them to appear within your profile. List your top capabilities first.
Clinical Trial Services & Technologies *
+ Add Service
Investigational Products*
+ Add Product
Therapeutic Areas*
+ Add Areas
Indications
+ Add Indications
Who We Are
Corporate website*
Team Members (Max 3)
- Name
- Job Title
- Name
- Job Title
- Name
- Job Title
Working With Us
Promotional Message:
This is an impact statement about how your product or services are unique, why someone should work with you, or maybe a recent piece of news, limit 1,500 characters.
Video link (embedded)
This is where you can add a link to a video showcasing your company, capabilities, thought leaders, etc. (YouTube, Vimeo and mp4 videos supported only)
Upload files (.pdf, .ppt, etc., 10 MB limit in total)(5 total)
This is where you can upload files for the public to view and download. (e.g., white papers, thought leader interviews, capabilities deck. etc.)
Experience
Since what year has your company been active in clinical research? *
# of Trials supported
# of Customers supported (past 3 years)
# of Patientsenrolled
# of Trials gone to approval
Trial Geography *
Add Region
Languages
Trial Phases Supported
- Any
- Phase I
- Phase II
- Phase III
- Phase IV
Validation studies to share
- Yes
Privacy Officer or Team
- Yes
Auditing
Audited by FDA
- No
- Yes
Other Auditing Agencies
Technology
IT Security Audits in the last 3 years
IT Certifications
Integrated with (companies/partners)
Integrated Technologies
Compliance
- GDPR
- 21 CFR Part 11
Financials
Dun & Bradstreet Credit Rating
Annual Revenue (USD)
Competencies
Please describe your diversity and inclusion capabilities. (optional)
Please describe your rescue package or rescue experience. (optional)
The Search Card Preview button provides a preview of how your profile displays on the Search Page. This information is pulled from the Message for the EcoSystem section, Clinical Trial Services & Technologies tags, and the Investigational Products tags.
Note, the Message for the EcoSystem section allows you to input 1,500 characters. The search card truncates this to the first 700 characters, approximately 100 words.
