Call for Application - Guidelines Methodology Group

Dear Methodologists,

We have developed a questionnaire for you to apply online to the ESAIC Guidelines’ Methodology Group. This questionnaire should only be completed once.

If you have any question or query, please do not hesitate to contact guidelines@esaic.org.

We thank you in advance.

Sincerely,

The ESAIC Guidelines team
for the ESAIC Guidelines Committee

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* 1. Last Name :

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* 2. First Name :

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* 3. Email address :

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* 4. Mobile phone number :

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* 5. Office phone number :

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* 6. ESAIC Current and active membership number :

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* 7. Currently active in ESAIC (or in the last 5 years) as :

ESAIC Council Member

ESAIC Board Member

ESAIC Scientific Sub-Committee Member

No current/recent activity within ESAIC

Other (please specify)

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* 8. Hospital/ Institution Name :

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* 9. Country of your Institution :

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* 10. City of your Institution :

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* 11. Motivation (max 200 words) Please indicate here your motivation explaining why you would like to become a Methodologist for the ESAIC Guidelines Methodology Group :

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* 12. Could you explain your previous experience as Methodologist?

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* 13. How much time can you spend for the Methodology Group? What are your resources?

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* 14. I declare that I will send to guidelines@esaic.org the following documents:

Publication List

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* 15. I agree to the following

ESAIC’s Privacy Policy

My CV being forwarded for Guideline Purposes.

Completing the COI form that I will receive once this application has been submitted

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* 16. Signature

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