Academy Exam Committee Application

APPLICATION DEADLINE: SEPTEMBER 15, 2024

Thank you for your interest in applying for service on a 2025 Academy Exam Committee. The four Exam Committees are: ACRP-CP, CCRA, CCRC, and CPI. You must hold the applicable certification to serve on the committee. All applicants will be contacted to schedule phone interviews. Once an appointment to the committee is approved by the Academy Board of Trustees, each member serves a 3-year term.

PURPOSE:The Global Exam Committees use psychometrically sound practices to develop ACRP certification examinations that meet the current test specifications as determined by the most recent Job Task Analysis (JTA). Committee members will provide content expertise to the ongoing development of the certification examinations. Learn more at https://acrpnet.org/about-old/the-academy/academy-committees/.

Questions? Email Steven Gonzalez, Associate Director, Certification at steven.gonzalez@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

On which Exam Committee do you want to serve?*

ACRP-CP
CCRA
CCRC
CPI

Which of the ACRP credentials do you possess? Check all that apply.*

ACRP-CP
ACRP-PM
CCRA
ACRP-MDP
CCRC
CPI
FACRP (Fellow)
None of these

Have you ever served on the ACRP or Academy Board of Trustees?*

Yes
No

If yes, when?

Exam Committee members review and revise draft exam questions and approve exam forms. To help ensure Academy certification exams reflect current practice, Exam Committee members are required to have current knowledge of, and experience in, working on clinical trials. Are you currently working on trials?*

Yes
No
Indirect Role

If you are working in an indirect role, please describe below.

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

What is your focus area?*

Bioinformatics
Business Operations and Administration
Medical Affairs and Safety
Regulatory Affairs
Study Conduct
Trial Management
Other

If Other, please specify.

Please select your primary role.*

If Other, please specify.

Which setting listed best describes your current work situation?*

If Other, please specify.

What most interests you about serving on an Exam Committee?*

What unique skills and experience will you contribute to this committee?*

Please describe any applicable leadership/volunteer experience with ACRP and/or the Academy. You may also list experiences with other organizations with which you have worked/volunteered.*

Exam Committee meetings have traditionally been held virtually three times per year over a weekend in February, June, and September. In addition, there is often pre-meeting review work that is required. Are you able to commit to this level of activity?*

Yes
No

Please upload your Resume/CV (PDF files are preferred).*

Max. file size: 50 MB.

Disclaimer and Consent

I certify that my answers are true and complete to the best of my knowledge. If this application leads to my selection as a committee member, I understand that false or misleading information in my application or interview may result in my release.*

I agree
I do not agree