BRIDGING THE GAP FOR CLINICAL TRIALS
ENTRY FORM

Oh, yes...I want to impact the narrative about science and who participates!

First Name

Last Name

ZipCode

Phone

I am entering in the following category(ies)

Visual Arts

Music

Dance

Photography

I am posting in the following social media platforms

Facebook

Instagram

TikTok

YouTube

Visual Arts (jpg, png, gif up to 25 MB)

Upload Visual Arts Image File

Music (30-60 seconds) MP4 up to 50 MB

Upload Music Video File

Dance (1-2 mins long) MP4 or MOV up to 2GB

Upload Video File

Photography (jpg, png, gif up to 25 MB)

Upload Image File

At SiteBridge we embrace the diverse tapestry of this country. Please tell us why diversity in clinical trials is important to you.

I confirm that I am 18 years of age and older, and certify that this submission is my own original work and understand that only original works will be accepted into the contest.

Wait to close this page until you see "your content has been submitted"

Your content has been submitted. Your entry will appear on the page, after it has been vetted.

BRIDGING THE GAP FOR CLINICAL TRIALS ENTRY FORM

Oh, yes...I want to impact the narrative about science and who participates!

BRIDGING THE GAP FOR CLINICAL TRIALS
ENTRY FORM