ACRP Professional Ethics Committee Application

APPLICATION DEADLINE: SEPTEMBER 15, 2024

Thank you for your interest in applying for service on ACRP's 2025 Professional Ethics Committee. The Vice Chair of ACRP's Board of Trustees works with the committee and staff to fill vacancies for his/her year as Chair. All applications are reviewed, and recommended candidates are put forward for approval by the Board. Nominees will be contacted in November and provided a status of their application.

PURPOSE: The ACRP Professional Ethics Committee maintains ACRP's Code of Ethics and Professional Conduct and reviews ethics complaints submitted through the organization's review process. This committee meets via teleconference on an as-needed basis. Learn more at https://acrpnet.org/about/leadership-governance/professional-ethics-committee/.

Questions? Email Christy Herz, Sr. Director of Governance at christy.herz@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 a member of ACRP in good standing?*

Yes
No

Are you at least 21 years of age?*

Yes
No

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

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.

What skills will you contribute to fulfill the Professional Ethics Committee's responsibilities?*

Will you be able to serve a two-year term?*

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