Committee membership application

Committee Membership Application Form

We embrace diversity and are committed to equality of opportunity. We welcome applications from all sections of the community. 

For longer answers, you can drag the bottom right-hand corner of a text-entry field to expand the size. If you have any other queries about how to fill out this form, please do not hesitate to contact us on 023 8059 5586 or at netsagmembership@nihr.ac.uk 

Section 1

Role/s for which you wish to be considered

 

Role A

Role B (optional)

Section 2

Contact details

 

Primary (work) details

 

 

Other affiliated organisations and contact details

 

Section 3

 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 NIHR Committee role, what you hope to bring to the role, and why you wish to become a committee member referring to the criteria in the person specification (see guidance notes). (Maximum 5000 characters)

 

3d. Additional question for applicants to any HTA Funding Committee

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

Section 4

4a. Current or previous memberships

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

Please note members may not serve on more than one NIHR committee simultaneously.  A maximum overlap of one meeting of each prioritisation or funding committee is permitted

 

 

4b. Other applications

Have you recently applied for any committee 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)

Section 5

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 would like to join the NIHR Reviewer Community, please tick here:

Section 6

Please tell us how you heard about our committee membership opportunities

 

I heard about the becoming an NIHR committee member NIHR vacancies through...
Section 7

Supporting documents

Please upload any supporting documentation. Hold down Ctrl to select multiple documents.

By completing this form you are agreeing to your details being added to our management Information System (MIS) database. Your personal information is held and used in compliance with the General Data Protection Regulation 2016 (GDPR) and the Data Protection Act (2018). The Department of Health and Social Care, National Institute for Health Research (DHSC NIHR) is the Data Controller under GDPR. Under GDPR, 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 DHSC NIHR bodies for the purposes of statistical analysis and other DHSC 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 DHSC NIHR is committed to protecting privacy and to processing all personal information in a manner that meets the requirements of GDPR. You can ask for your details to be removed from our database at any time by emailing us at netsagmembership@nihr.ac.uk.


View the NIHR Privacy Policy

 

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