I would like to apply for a position on the Operative Dentistry Reviewer Board. I understand that in order to be considered, I am licensed as a DMD or DDS in my licensing jurisdiction; I have authored or co-authored at least three manuscripts that have been published in internationally recognized peer-reviewed journals, with at least one of the papers where I was First or Corresponding author; and that I will have to fill out a conflict of interest statement (below). These accomplishments are clearly listed in my cv, which I will attach. Your Name (required) Your Email (required) Please attach your cv here. We accept files as .pdf, .doc, or .docx. We accept files up to 3MB. If I am accepted, I would be interested in reviewing the following manuscript subjects (select all that are of interest). AmalgamBioactive MaterialsBiocompatibility of MaterialsBleachingCAD-CAMCariologyGold RestorationsCementation/Luting Agents, ProceduresCeramics (Veneers, Inlays, Onlays, Crowns)Clinical Operative DentistryClinical TrialsColor (other than bleaching)Curing Lights/PolymerizationDecision Making/Risk AssessmentDental AdhesivesDental EducationDental ErosionDesensitizing Materials and TreatmentsEsthetic DentistryField Isolation/Rubber DamFinite Element AnalysisGlass Ionomer CementImplant RestorationLasers in DentistryLiterature Review and Meta-analysis ManuscriptsLongevity of Dental RestorationsMaterial Finishing and Polishing ProceduresOcclusion (TMD)Other/Not ListedPatient ManagementPeriodontology Related to Operative DentistryPhysical Property TestingPost-Operative SensitivityPractice-Based Studies in Operative DentistryPreventive DentistryPulp Reaction StudiesRadiologyRepair of RestorationsResin Matrix CompositesRestoration of Endodontically Treated Teeth CONFLICT OF INTEREST STATEMENT We thank you for applying to be a reviewer for Operative Dentistry. Please fill out this form to declare your potential or real conflicts of interest in performing manuscript reviews for Operative Dentistry. All fields below are mandatory. Use N/A if the field is not applicable to you. It is the policy of Operative Dentistry, Inc (herein after referred to as “Jopdent,”) that all members of the Reviewer Board of Jopdent shall complete a conflict of interest statement regarding any interest in a company or a product related to the dental profession that might appear in submitted manuscripts. Further, any portion of the following information can be shared with Jopdent's Editorial Staff to help them avoid creating possible conflicts of interest in the assigning of reviews of submitted manuscripts. In accordance with this policy, I declare that I have no proprietary, financial or other personal interest of any nature or kind in any *product, service and/or company* that might be discussed or considered in a submitted manuscript, except the following: I declare that I have no proprietary, financial or other personal interest of any nature or kind in any *firm* beneficially associated with any product and/or service that will be discussed or considered in a submitted manuscript, except the following: I declare that I have no past or present financial interest, consulting position or other involvement of any nature or kind related to submitted manuscripts that could give rise to even a suspicion of a conflict of interest, except the following: Furthermore, I understand and agree that as a condition for participating as member of the Reviewer Board of Operative Dentistry, I will exercise particular care that no detriment to the Jopdent will result from conflicts between my interests and those of Jopdent. Having read and understood this policy and having completed this statement to the best of my knowledge and belief, I agree to be bound by the terms hereof. Your name as typed above will act as your signature to this statement. Any signature (including any electronic symbol or process attached to, or associated with, this statement and adopted by a Person with the intent to sign, authenticate or accept such contract or record) hereto shall have the same legal validity and enforceability as a manually executed signature or use of a paper-based record-keeping system to the fullest extent permitted by applicable law.