Please complete the Application form below
An “independent” toxicology consultant is defined as someone who is an owner, one of no more than two partners, or is a principal of their own toxicology consulting business AND who is solely responsible, with the possible input of one other senior individual, for the scientific and business decisions of the consultancy, and is neither an employee (full or part time) of a toxicology consulting or any other toxicology-related business organization, nor one who manages the careers and daily job assignments of others in a professional service organization.
Please provide the name and email address of 2 professional references below, including at least one RTC member and one with DABT:
I certify that all of the information that I have provided in support of the application is true and correct to the best of my knowledge, and that I qualify for membership based upon the Standards for Consideration of Applicants for Membership. I have never been debarred or the subject of any disciplinary or legal action that resulted in or may result in the suspension or loss of any license or certification held, or prohibits or prohibited any business activity.
In addition, I certify that I am, at present, a part-time or full-time independent consultant in some aspect of toxicology as defined above. I further understand that the use of false or misleading information as well as inappropriate use of the RTC name, talklist, membership list, or any other function or activity of the RTC may result in my ineligibility for membership in or expulsion from the Roundtable of Toxicology Consultants.
The contents of the C.V. /resume should provide enough detail to confirm the appropriate level of experience in toxicology by including the following:
Applicants will be notified via email of acceptance into the Roundtable of Toxicology Consultants within 30 days of receipt of the complete application package by the RTC Executive Committee. For those individuals who fail to gain approval for membership, the application package will be destroyed. The application fee of $75.00 is not refundable.