Committee Member Application

Full Name: *
Current Role/Title *
NAFTNet Center: *
(City, State/Province, Country) *
Email: *
I would like to serve on the following committee(s): *
Are you currently a practicing physician? *

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Is your center a member of NAFTNet? *

Clear Selection

*If you've answered No to the above two questions, you are not eligible to apply for the Clinical Guidelines Committee.

Upload Your CV
*Briefly describe your prior experience with clinical guideline development, manuscript authorship, or related academic/research involvement (max 250 words): *
(Maximum characters: 2000)
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Explain your interest in joining the Clinical Guidelines Committee and the expertise you bring (max 300 words): *
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