Membership of RfSC Funding Committee for researchers/academics

This application form is for researchers and academics to express an interest in becoming a member of the NIHR Research for Social Care (RfSC) Funding Committee.

Your application will be considered as soon as there is a suitable vacancy. Because the Funding Committee has a maximum number of members, and must be balanced in terms of skills and expertise, it is possible that vacancies may not arise immediately. In this case, we will confirm if we would like to retain your application form for two years and consider your application when a suitable vacancy arises.

If you are not a research active professional, such as a commissioner, policy maker, practitioner or service manager, and would like to apply to join the RfSC Funding Committee, please use our alternative application form for non-research active individuals.

Please email any queries to rfsc@nihr.ac.uk.

Applicant details

As this information will be used in official correspondence, please omit middle names and initials unless you prefer these to be used.

Title (required)

Surname (required)

Forename (required)

Post held (required)

Department (required)

Research Design Service Advisor (required)

Yes
No

Contact details

Institution (required)

Street (required)

Town/city (required)

County (required)

Postcode (required)

Region (required)

Country (required)

Telephone (required)

Extension

Mobile

Email Address (required)

Fax

Professional details

Degrees and other qualifications - Please include the following information: date; qualification; class; subject; awarding body (required)

Please give details of your accreditation with any professional bodies (including dates)

Present and previous positions held - Please include the following information: dates; job title; employing authority (required)

Research grants held - Please include the following information: dates; title; co-applicants; source (organisation name); start date; duration; total grant (required)

Research methodology skills - Please list the research methodology skills you have reached a strong level of competency in (maximum 1,500 characters). (required)

Please provide details of relevant services, research, education or lived experience (maximum 1,500 characters)

Areas of current experience, practice and interest

Please detail any relevant experience serving on funding committees and/or advisory bodies (Maximum 1,500 characters) (required)

Supporting information

Please explain in a supporting statement why you are interested in becoming a RfSC Fundiing Committee member, and how your experience to date would help you to perform this role (Maximum 2,500 characters)

Please let us know how you heard about the opportunity to apply to be a member of the RfSC Advisory Committee

If you selected other please provide further information

Please upload a full list of publications, with the five publications most relevant to this application marked with an asterisk (*)

Declaration

By submitting this form I hereby declare that the information given in my application is correct to the best of my knowledge. I understand that falsification of information contained on this form may result in my appointment being terminated.

Please note that the details provided in this application form are covered by the NIHR Privacy Policy.

By completing this form you are agreeing to your details being added to our 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, 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.

If you require any further information or assistance, please send a brief description of your requirement to rfsc@nihr.ac.uk. Alternatively you can contact the RfSC team at 020 8843 8057.

I have read and understood the data protection statement (required)

To help us verify genuine submissions please answer the following question What is thirty divided by five? (required)