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Select all that apply.
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Attach current copies of Signed or Draft agreements. Label files with the "CTP" prefix, the market/facility name, and if the agreement is signed or in draft format. (e.g., CTP_TAMC CTP MOA 2015 signed, or CTP_NML&PDC TOPS MOA 2021 DRAFT).
Files must be less than 1 GB.
Allowed file types: gif jpg jpeg png bmp eps tif pict psd txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml bz2 dmg gz jar rar sit tar zip.
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Current Point of Contact for Agreement
Program Director, Clinical Training Coordinator, or Support Agreement Manager.
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Current Alternate Point of Contact for Agreement
Program Director, Clinical Training Coordinator, or Support Agreement Manager.