Instructions: Complete the questions below. An exclamation point (!) indicates a required question. When finished, click the "Submit your answers" button at the bottom of the screen.
This questionnaire asks about the following topics. Please have this information handy while you complete the form to prevent the form from timing out.
Please note: Approximately 10 to 35 examiners will be selected per technology center accreditation team each year. Selected examiners will be notified of acceptance on or before August 24.
Thank you for your interest!
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1. Contact Information
2. Background Information
Your area(s) of expertise: (Check all that apply.)
3. Conflict of Interest
Read the following:
Definition of Conflict of Interest
Conflicts of interest disqualify a potential examiner from evaluating a particular school. In agreeing to serve as an Accreditation examiner team member, I certify that I understand what constitutes a conflict of interest.
A schedule conflict is not conflict of interest. If you have a schedule conflict you can identify the conflicting dates later in this application.
Do you understand the above situations that constitute a conflict of interest for accreditation examiners?
I understand situations that constitute a conflict of interest.
Please check the box next to each school at which you may have a conflict of interest. Check "No conflict of interest" if you do not have a conflict of interest.
Conflict of interest with technology center(s)
Describe the potential conflict of interest for each institution you indicated in the previous question. Write "None" or "N/A" if you do not have a conflict of interest related to any of the schools listed.
4. Schedule Conflict (Dates and meeting formats subject to change, if necessary)
Please check the appropriate box next to each date for which you have a schedule conflict (refer to the list above). If no schedule conflict, check "No schedule conflict."
Schedule conflicts (if any)
5. Confidentiality Agreement
By agreeing to serve as an Accreditation examiner team member, I understand the following:
Do you understand that information in the Technology Center applications, discussions at Examiner Boot Camp, and data gathered and shared at the site visits must be kept confidential?
I agree to keep accreditation information confidential.
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