National Scientific Advisory Committee (NSAC) 2027-2030 Application

You can learn more about the National Scientific Advisory Committee (NSAC) and the committee focus areas by visiting: https://www.crohnscolitisfoundation.org/about/national-scientific-advisory-committee. To apply as a new member (never served on the NSAC before) please complete the application below.

*Please note there will be a link on our webpage to the application, an intro to the application, and skip logic on questions.

Demographics with * indicates required

The Crohn’s & Colitis Foundation strives to offer programs and services that support all members of the IBD community. We are asking demographic questions to ensure we meet this goal.

Submission of demographic information is optional, and declining to provide it will not affect participation in Foundation programs. This information will help us better understand who is participating in our programs/services and advance our efforts to ensure we support all members of the IBD community.

Last Name

First Name

Middle Name

Choose Primary Professional Credential

What type of patient care do you practice? Please select all that apply (Press and hold Ctrl to select multiple values)

What is your healthcare related profession?

Institution or Practice Name

Institution Street Address

Institution City

Institution Country

Institution State

If the country is not United States, select ‘None’.

Institution Zip Code

Preferred Mailing Street Address

Preferred Mailing City

Preferred Mailing Country

Preferred Mailing State

If the country is not United States, select ‘None’.

Preferred Mailing Zip Code

Mobile Phone

Work Phone

Preferred Phone

Email address (please share your preferred email where you are most likely to respond to Foundations communications.)

Preferred Email Type

Please provide an alternative email (Email backup for communications)

Is there an assistant that you would like us to communicate with?

Assistant's Name

Assistant's Email

Which gender identity do you most identify?

Do you identify as an LGBTQIA+ individual?

What is your ethnicity? Please select one:

What is your race? Please select all that apply (Press & hold Ctrl to select multiple values)

Describe your current practice location/institution:

How many years have you been in practice?

What is your main focus in clinical practice?

What percent of your practice is made up of IBD patients?

Are you a professional member of the Crohn’s & Colitis Foundation -https://www.crohnscolitisfoundation.org/get-involved/become-member/professional-membership

Are you or have you ever been a recipient of a Crohn’s & Colitis Foundation grant or training award?

If Yes, number of grants received

If you received a grant, what type of grant did you receive? Please select all that apply (Press and hold Ctrl to select multiple values)

Please upload your CV or NIH Biosketch

By submitting this application, you agree to receive Healthcare Professional news and updates. If you choose not to opt in, you may miss important communications related to NSAC, as well as information about Crohn's & Colitis Congress discounts and other opportunities.