NOTE: This is an extensive application. Please be prepared to complete the application as your work will not be saved and may be lost if you close this online form before you are ready to submit.
You can download a PDF of the form to gather your info HERE.

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* 1. Are you a CNM member?

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* 2. Please add your info here:

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* 3. Brief Biography (Career highlights and qualifying experience related to your project - approximately 150 words):

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* 4. Title of Project: The title should summarize the main idea and clearly represent the process improvement initiative. (Maximum 9 words)

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* 5. Please check the applicable type of submission.

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* 6. Project Team Members: Identify all members of the team, including any interdisciplinary or administrative involvement/support.

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* 7. If you have other team members, please add their names, credentials, title and department here.

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