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ACRP Educational Programs Ambassador Application

Thank you for your interest in serving as an ACRP Educational Programs Ambassador. We are seeking clinical research professionals who are interested in helping to create, review, and or provide feedback on ACRP educational programs. Examples may include contributing to a new eLearning course, comments for FDA Guidance, or reviewing existing resources to be updated, such as when the ICH E6 (R3) guidelines are final. ACRP will announce these opportunities and you will have the opportunity to sign up for specific working groups. ACRP will match your skills and availabilities to ensure the working groups have the required expertise needed for the project. PLEASE NOTE: You MUST create an ACRP Account before completing this application. You do not need to be an ACRP member to apply. Thank you!
First and Last Name*
Professional Credentials
Address*
Email Address (Must Match Your ACRP Profile)*
Years of Experience in Clinical Research*
Are You an ACRP Member?*
Have You Ever Served on an ACRP or Academy Committee or Been Active in an ACRP Chapter?*
Which ACRP Credentials Do You Possess? Check All That Apply*
Which Practice Setting Best Describes Your Current Organization?*
In Which Setting(s) Have You Worked in the Past? Check All That Apply*
Please list any professional leadership activities from other organizations you have been involved with and briefly describe your role and/or accomplishments. If none exists, please note N/A.
ACRP supports clinical research professionals and life science organizations globally by providing community, education, and credentialing programs. In your professional experience, have you been involved in the education or training of clinical researchers (i.e., GCP training)?
Do You Have Any Global Clinical Research Experience?*
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      Please note if there is any additional information the reviewers should be aware of when considering your application.
      Eligibility*
      By checking this box, I certify that my answers are true and complete to the best of my knowledge. If I am selected as an ACRP Educational Programs Ambassador and it is determined that false or misleading information was provided during the application process, that may result in my release from the program.