Academy Board of Trustees Nomination Application

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Thank you for your interest in applying for service on the Academy Board of Trustees. The online application form for the 2026 Academy Board of Trustees is CLOSED. Applications for 2027 will be accepted beginning in May of 2026.

Questions? Email Jen Milam, Manager, Certification, at jen.milam@acrpnet.org.
Candidate Information
Name*
First Middle Initial (optional) Last Suffix/Certifications
Email*
Enter Email Confirm Email
Preferred Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company/Organization*
Job Title*
Are you at least 21 years of age?*
- Yes
- No
Have you ever served on the ACRP or Academy Board of Trustees?*
- Yes
- No
If yes, when?
How many years of experience do you have in clinical research?*
- Less than one year
- 1-4 years
- 5-10 years
- 11-15 years
- 16-20 years
- More than 20 years
Are you an Academy certificant in good standing?*
- Yes
- No
Which of the ACRP certifications do you have? Check all that apply.*
- ACRP-CP
- ACRP-PM
- CCRA
- ACRP-MDP
- CCRC
- CPI
- FACRP (Fellow)
- None of these
Which of the following applies to you? Check all that apply.
- Served for at least two years as a member of an Academy Exam Committee
- Submitted test questions as an Item Writer
- Participated in a test development capacity (standard setting, job analysis)
Which setting listed best describes your current work situation?*
- Academic Medical Center/University
- Clinical Study Site
- CRO
- Government Agency
- Institutional Review Board
- Medical Device Company
- Pharmaceutical/Biotech Company
- Private Practice (Office or Hospital Based)
- Recruitment Company
- Site Management Organization (SMO)
- Site Network
- Other
If Other, please specify.
In which setting have you worked in the past? Check all that apply.*
- Academic Medical Center/University
- Clinical Study Site
- CRO
- Government Agency
- Institutional Review Board
- Medical Device Company
- Pharmaceutical/Biotech Company
- Private Practice (Office or Hospital Based)
- Recruitment Company
- Site Management Organization (SMO)
- Site Network
- Other
If Other, please specify.

Academy Board of Trustees Nomination Application

Academy Board Of Trustees Nomination Application

Step 1 of 5

Candidate Information

Volunteer/Leadership Roles

Nomination Questions

Biographical Information

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