ACRP Board of Trustees Nomination Application

Thank you for your interest in applying for service on the 2024 ACRP Board of Trustees. At any time, you may click the Save & Continue Later link at the bottom of the screen. This will save the information you have entered and allow you to log back in to complete your form at a later date.

Applications will be reviewed by the ACRP Nominating Committee, and a slate of recommended candidates will be put forward to the ACRP Board for approval. The ACRP membership will vote on the Board-approved slate in October. All nominees will be contacted in the fall and provided a status of their application.

Learn about Board Member responsibilities, the nominations process, and ACRP leadership in the Nominee Handbook.

For 2024, ACRP is seeking Trustees who have Pharmaceutical Company, Contract Research Organization (CRO), or Academic Research Organization (ARO) experience, familiarity with regulatory guidance or study-start-up experience, understanding of the education/training clinical research professionals need to move forward in their careers, AND/OR familiarity with resources for workforce development. Questions? Email Christy Herz, Sr. Director of Governance & Operations at christy.herz@acrpnet.org.

APPLICATION DEADLINE: JUNE 30, 2023

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*

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

How many years have you been a member of ACRP?*

Less than one year
1-4 years
5-10 years
11-15 years
16-20 years
More than 20 years

Are you at least 21 years of age?*

Yes
No

Have you discussed and do you have support from your employer to seek an ACRP Trustee position?*

Yes
No

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

Which setting listed best describes your current work situation?*

If Other, please specify.

In which setting have you worked in the past? Check all that apply.*

If Other, please specify.

ACRP Board of Trustees Nomination Application

ACRP Board Of Trustees Nomination Application

Step 1 of 5

Candidate Information

Volunteer/Leadership Roles

Nomination Questions

Biographical Information

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