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Research Advisory Group Application 2022
1.
Title
Name
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Country
Email Address
Phone Number
2.
Background Information:
Please describe your experience and how you have contributed to a discussion group or meeting either as a volunteer or in the work place.
3.
Please explain why you want to become a patient advisor and what think you can contribute (Max 200 words)
4.
Have you been or are you involved in the work of any other NIHR or NHS Involvement or Engagement group?
Your answer will not affect your application in any way. Please insert an X next to your answer.
Yes - If yes please give details
No
5.
Do you have any support requirements in order to be able to participate fully in this recruitment process?
Yes
No
Other (please specify)
6.
How did you hear about this opportunity?
Current Progress,
0 of 6 answered