NIHR CLAHRC East Midlands Faculty Application Form
Please provide as much information as you can. However, do not be put off by lack of previous research
experience – it is your ideas and commitment we want.
Please send the completed form and your CV to Karen.Glover@nottingham.ac.uk
Full Name (including title)
Contact Details
Telephone
Email
Partner Organisation
Position in Organisation
Areas of interest in
CLAHRC EM
Why do want to become
part of CLAHRC EM?
What will you bring to
CLAHRC EM?
Any other comments or
additional information in
support of your
application
For more information
Karen.Glover@nottingham.ac.uk
In submitting your information you consent to CLAHRC EM processing your data for the purpose of considering your application as a Faculty Member.
Your data may be shared with our partner organisations, a list of which can be found at
www.clahrc-em.nihr.ac.uk/about/partners.aspx
Your information will be kept by CLAHRC EM until December 2018, which is the current end date for funding for CLAHRC EM. At the end of CLAHRC EM
your information will be deleted from CLAHRC EM’s and its partners’ databases and systems in accordance with the Data Protection Act 1998. Please tick
this box if you do not consent to your information being used in the manner detailed above.
Version 1.2 – 12.09.14