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 PhoneBCEN Certifications heldCheck all that apply CEN CFRN CPEN CTRN TCRNOther Certifications heldHave you earned your BSN?* Yes NoWork ExperiencePast teaching, presentation and/or speaking experienceDo 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 Blogs Online Courses In-person Courses Webinars Panel Discussions Exam Review Questions 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 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 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)
