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* 1. Please provide your first and last name

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* 2. Please provide your preferred contact email address

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* 3. Please provide your current position and organizational/institutional affiliation

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* 4. Please list your areas of expertise

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* 5. Please provide the name of the chapter for which you are applying as an author

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* 6. Please upload your current CV, including any representative publications, for review (PDF or Word files preferred)

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