Clinical Practice Guidelines (CPG) Committee Application

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* 1. Name

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* 2. Credentials

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* 3. Institution

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* 4. Preferred email

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* 5. Preferred phone

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* 6. Why would you like to be considered as a member of the CPG Committee?

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* 7. What specific qualifications do you have that would make you a successful committee member?

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* 8. Please provide your CV.

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