Subject Matter Expert Enrollment

Subject Matter Expert Enrollment Form

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Program

Relevant Research ECHO-2025
Nutrition ECHO: Series of Nutrition Webinars

First Name

This is how it will appear on the announcements

Last Name

This is how it will appear on the announcements

Email Address

Linkedin Link or work webpage

type “no” if not available

Twitter handle

type “no” if not available

Location

US
International

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Name of Institution/Hospital/University

Choose one affiliation to be included in the announcements

Position/Academic Rank

Choose one rank (e.g. Professor or consultant—not both)

Speciality/Subspeciality

Biosketch

In less than 250 words

0 of 250 max words.

Professional Photo

Click or drag a file to this area to upload.

.png, .jpg, .jpeg format; shows the face and shoulders; shows the face and shoulders, square shape, professional background; this picture will be posted on the website

Probono

I understand that I am volunteering my time and will not be paid for this learning activity

Attestation of SME Responsibilities

I attest to reading the SME Responsibilities outlined by the Facilitator and will abide with them

Slide Preparation
Use the slide template provided by the facilitator (that contains the relevant logos)
Do not include any patient personal information (e.g. name, date of birth, medical record number)

Day of Session
Join 15 minutes before the session starts to confirm everything is in working order
Use a quiet location with stable, high-speed internet
Please use a computer that has a camera
Position the webcam so the whole face is visible

In the event of unforeseen unavailability, i.e. unable to present with less than one month notice