Email Address* Prefix*------Select your title------Dr.Mr.Mrs.MissMs.Prof.Maj.Comm.Capt.Col.Gen.First Name*Middle Name (option)Last Name*Suffix (option)------Select your suffix------Jr.Sr.IIIIIIVCountry*------Select your Country------AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia, Plurinational State ofBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, the Democratic Republic of theCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands 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(TW)+960 (MV)+961 (LB)+962 (JO)+963 (SY)+964 (IQ)+965 (KW)+966 (SA)+967 (YE)+968 (OM)+970 (PS)+971 (AE)+972 (IL)+973 (BH)+974 (QA)+975 (BT)+976 (MN)+977 (NP)+992 (TJ)+993 (TM)+994 (AZ)+995 (GE)+996 (KG)+998 (UZ)+1-242 (BS)+1-246 (BB)+1-264 (AI)+1-268 (AG)+1-284 (VI)+1-340 (VQ)+1-345 (KY)+1-441 (BM)+1-473 (GD)+1-649 (TC)+1-664 (MS)+1-670 (MP)+1-671 (GU)+1-684 (AS)+1-758 (LC)+1-767 (DM)+1-784 (VC)+1-868 (TT)+1-869 (KN)+1-876 (JM)Phone Number*Gender* Male Female LinkedIn profile page URL Other professional bio/profile page (blog site, research, etc.) Academic, licensure, and certification designations (PharmD, PhD, RPh, JD, BCNSP, etc)*Which of the following reflect your current job responsibilities? (select all that apply)* Community / Mail Service / HMO Hospital, Short-and long-term Care / Home Health Care Academia Regulatory Pharmaceutical industry Area(s) of Expertise (Select all that apply)* Basic biomedical science Social/behavioral/administrative sciences Medication safety Pharmacy law, regulation Compounding - Regulatory and/or Job-related tasks of compounding Clinical sciences/pharmacy practice Pharmaceutical sciences Professional ethics/pharmacist judgment Please select the activity you wish to volunteer* Serve as Item Writer. The member develops test questions (items) according to test plan specifications and meticulously validates them in standard texts appropriate for the NBMTM credentialing program. Writers must also draw upon their experience and expertise to develop realistic settings and present accurate and valid information in all details of their test questions (items). Individuals selected for writing items will receive training and materials on how to write a valid and defensible test question. This committee meets remotely via webinar. Serve as Item Reviewer. The members reviews newly written test questions (items) for the NBMTM exam. During the item review process members of the committee will assess the content of the questions, validate correctness of answers, and ensure language clarity and appropriateness of items. Serve as Content Expert to contribute to the NBMTM website development and journal. Serve as a Board Director. As a Board member, you will also have the opportunity to take leadership roles within the NBMTM Board structure. As a director, you may choose to run for the office of Board President, Secretary or Treasurer. You may also be selected to lead the Exam Committee or Marketing Committee. You must be board certified by the National Board of Medication Therapy Management to be considered. 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