Advisory Group Member Application Form 2017 - Panel or Board Member


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Role/s for which you wish to be considered

Role A:

Role B (optional)


Contact Details

Primary (work) details

Other affiliated organisations and contact details


Professional Details

3a. Summary

Please summarise your knowledge, skills and experience using up to five key words or phrases (such as service management, health economics, questionnaire design, paediatrics, obesity etc.) in the spaces below. The words you provide should summarise your content knowledge as well as any relevant research methods expertise.

3b. Research methodology skills

If applicable, please list the research methodology skills in which you have reached a strong level of competency. (Maximum 2000 characters).

3c. Knowledge, skills and experience

Please detail your specialist knowledge, skills and experience and how they demonstrate your suitability for an advisory group chair role, referring to the criteria in the person specification. (Maximum 5000 characters)

3d. Additional question for applicants to any HTA Board

Experience of reviewing for the HTA programme is a requirement when applying for membership of any HTA Board. Please detail your HTA reviewing experience if applicable. (Maximum 5000 characters)


Panel or board membership

4a. Current or previous memberships

Please provide details of any current or expired panel or board membership for the NIHR or other research funders within the last 3 years. (Maximum 5000 characters)

4b. Other applications

Have you recently applied for any other panel or board member positions with other funders which may affect your ability to take a role if offered?

Other applications

If yes, please give details where possible (Maximum 2000 characters)


Getting involved in reviewing

From time to time we invite people with relevant knowledge and expertise to undertake reviews for NIHR programmes on the content of short briefing papers, proposals for research, and final reports of research findings.


If you do not wish to be contacted about reviewing please tick here:

We publish an annual list of reviewers who have completed a review for us during the past year. If you are asked ot review, your contribution as a reviewer will be acknowledged on our website as a gesture of our appreciation. We will list your name, and ensure that there is no indication of the reviewing task that you completed. If you would prefer us not to publish your details, please indicate this by ticking here:

*Please note applicants in receipt of NIHR funding are obliged to review for NIHR


Please tell us how you heard about our panel and board member opportunities

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Supporting documents

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Your personal information is held and used in compliance with the Data Protection Act 1998. The Department of Health, National Institute for Health Research (DH NIHR) is the Data Controller under the Data Protection Act 1998 (‘the Act’). Under the Data Protection Act, we have a legal duty to protect any information we collect from you. You should be aware that information given to us might be shared with other DH NIHR bodies for the purposes of statistical analysis and other DH NIHR management purposes. We also reserve the right to share details of research applications with other approved research funding organisations outside the NIHR in order to coordinate research activity in the UK. Information collected from you will not be passed to any third party outside the NIHR except specifically as detailed above without your consent except where we are under a statutory obligation or entitled to do so by law. Applicants may be assured that DH NIHR is committed to protecting privacy and to processing all personal information in a manner that meets the requirements of the Act. You can ask for your details to be removed from our database at any time.