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* 1. Name

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* 2. Credentials

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* 3. Organization and Title

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* 5. Phone Number

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* 6. Are you an AALNC Member

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* 7. Are you certified as a Legal Nurse Consultant Certified (LNCC)?

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* 8. Which educational activities are you interested in contributing to as a Subject Matter Expert (SME)?

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* 9. Have you previously served as a Subject Matter Expert (SME) or Volunteer for AALNC?

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* 10. Select your clinical areas of expertise:

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* 11. Select your expertise areas of legal nurse consulting:

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* 12. Describe any potential conflicts or biases related to serving as a Subject Matter Expert or Volunteer.

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* 13. Upload your most recent Resume or CV

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* 14. I agree to be contacted by AALNC in the event that a Subject Matter Expert is needed.

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* 15. Provide any other comments or considerations.

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