Public Health Research Trainee Committee Membership Application Form

To apply for a PHR one-year Trainee Committee Membership you need to be a current Public Health Specialty Registrar.

If you feel you are too experienced to apply for a trainee membership you may be interested in applying for one of the other NIHR committee membership roles currently being advertised.

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 complete this form, please do not hesitate to contact us on 023 8059 5586 or at netsagmembership@nihr.ac.uk

 

Section 1

Role for which you wish to be considered

Please enter the reference number of the role for which you wish to be considered.

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. Knowledge, skills and experience

Please detail your specialist knowledge, skills and experience, how they demonstrate your suitability for an NIHR Trainee 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 the Guidance for Applicants document). (Maximum 5000 characters)

Section 4

Reviewing Experience

4a. Experience of reviewing for the NIHR

Please detail your NIHR reviewing experience, where possible providing the name of the research programme, reference number, title and date of the review task(s). If you have not reviewed for NIHR please put N/A and move to Section 4b. (Maximum 5000 characters)

4b. Experience of reviewing for other funders or journals

Please detail any other relevant reviewing experience, where possible providing reference numbers, titles or links to journal articles or provide the name and contact details of a referee who can confirm your work. (Maximum 5000 characters)

Section 5

Committee membership

5a. 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)

5b. Other applications

Have you recently applied for any other committee 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)

Section 6

Supporting documents

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

By completely 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.

View the NIHR Privacy Policy

 

PLEASE NOTE: If your application fails to submit, please note that you will have to re-attach your files and re-select checkboxes.