ANPD 2021 SME Application Question Title * 1. Full Name Question Title * 2. Credentials Question Title * 3. Email Address Question Title * 4. Phone Number Question Title * 5. Organization Question Title * 6. Professional Title Question Title * 7. Current ANPD Member? Yes No Question Title * 8. Please identify your areas of expertise (check all that apply): Orientation and Onboarding Competency Management Education (e.g., education design process) Role Development (e.g., TTP, Preceptor) Collaborative Partnerships Research/EBP/QI Professional Development (PD) Associate Simulation Innovations in Technology Diversity, Equity, and Inclusion Interprofessional Education Leadership Outcomes Measurement, ROI Dissemination of Scholarship/Publication Question Title * 9. Please indicate all ANPD projects you would be interested in contributing your expertise towards: Podcasts Webinars Research Position Statements Toolkits/Educational Resources Online Courses Other (please specify) Question Title * 10. Have you previously served as an SME for the development of other ANPD products? Yes No Question Title * 11. If so, describe the product or project you contributed to: Question Title * 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. Question Title * 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. Choose File Choose File No file chosen Remove File Upload your current resume or CV (your resume/CV should be reflective of your subject matter expertise) Question Title * 14. Upload a professional headshot PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Upload a professional headshot Question Title * 15. I agree to be contacted by ANPD in the event that a SME is needed to contribute to ANPD-identified projects. Yes No Done