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* 1. Full Name

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* 2. Credentials

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* 3. Email Address

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* 4. Phone Number

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* 5. Organization

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* 6. Professional Title

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* 7. Current ANPD Member?

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* 8. Please identify your areas of expertise (check all that apply):

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* 9. Please indicate all ANPD projects you would be interested in contributing your expertise towards:

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* 10. Have you previously served as an SME for the development of other ANPD products?

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* 11. If so, describe the product or project you contributed to:

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* 12. Describe any potential conflicts or biases (e.g., commercial interest organization financial relationship, author of a book, etc.) related to serving as an SME.

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* 13. Upload your current resume or CV (your resume/CV should be reflective of your subject matter expertise)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 14. Upload a professional headshot

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* 15. I agree to be contacted by ANPD in the event that a SME is needed to contribute to ANPD-identified projects.

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