SME Information Collection Form QuestionnaireThank you for your interest in becoming a BCEN Subject Matter Expert! Please complete the form below to apply.Name* First Name Last Name Email* Phone*BCEN Certifications held*Check all that apply CEN CFRN CPEN CTRN TCRNOther Certifications held*Have you earned your BSN?* Yes NoWork Experience*Past teaching, presentation and/or speaking experience*Do you have a conflict of interest that would prevent you from participating as a BCEN SME?*Examples include, but are not limited to, review course development and delivery for a BCEN credential or commercial interests. Yes NoWhat learning format do you prefer to develop content for? (Check all that apply)* Podcasts Online Courses In-person Courses Webinars Panel Discussions Exam Review Questions Conference Speaking OtherIf other, please specifyWhat knowledge level or position is your content geared towards (Check all that apply)* Hospital Administrators Nurse Leaders ED Nurses Nursing Students Nursing Educators OtherIf other, please specifyWhat topics are you currently comfortable developing content for?* Respiratory Emergencies Neurological Emergencies Traumatic Injuries Gastrointestinal Emergencies Genitourinary Emergencies Gynecological Emergencies Behavioral Emergencies Medical Emergencies Orthopedic Emergencies Communicable Diseases Professional Issues - Evidence Based Practice Professional Issues - Communication Professional Issues - Patient Safety None of the abovePlease enter a brief description and learning outcomes*Please enter a brief description and learning outcomesPlease enter a brief description and learning outcomesPlease enter a brief description and learning outcomesPlease enter a brief description and learning outcomesPlease enter a brief description and learning outcomesPlease enter a brief description and learning outcomesPlease enter a brief description and learning outcomesPlease enter a brief description and learning outcomesPlease enter a brief description and learning outcomesPlease enter a brief description and learning outcomesPlease enter a brief description and learning outcomesPlease enter a brief description and learning outcomesBCEN will always respect the time and schedules of our SMEs. Duration of commitments can vary between eight weeks for the development of a course to one year for practice exam writing. If chosen, are you prepared and able to commit to providing content for BCEN for the duration of the project?* Yes NoUpload samples of your content and presentationsMax. file size is 2MB. For larger files please consider using a resource like Dropbox or Hightail and share the link. Drop files here or Select filesMax. file size: 2 MB. Please enter any relevant links (samples of content or presentations)
