SHEFFIELD RECOVERY IN RESEARCH ADVISORY GROUP
Application Form
When filling in this form, please refer to the Sheffield Addiction Recovery Research Panel
(ShARRP) information sheet. If you don’t have a copy, please contact Andy Irving on the details
below to obtain one.
Name
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Address
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Phone number(s) and best times to telephone
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Email
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You must be over 18 years old to apply. Are you over 18 ?
Your Signature .....................................................
ShARRP Application Form V2, 17th Nov 2014
YES
NO
Date..................
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Please use this space to provide a brief overview of relevant personal details:

Occupation, education, any qualifications (qualifications are not essential to the role):

What knowledge or experience of drug and/or alcohol misuse have you had?

What links have you had, if any, to any treatment providers or support groups e.g.
Addaction, Phoenix Futures, Fitzwilliam Centre etc.?

Why you are interested in being a member of this group and what contribution could you
make?
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Have you served on a committee or panel before? What were your roles?

The role will involve reading and commenting on potentially log and detailed documents.
Can you give an example of when you have done that in the past, or willingness to
undertake this?
ShARRP Application Form V2, 17th Nov 2014
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
What time commitment do you envisage being able to offer? (Note the core role involves a
meeting “in-person” once every three months (quarterly), but we expect to communicate
regularly via email)

Do you have any knowledge of emails and computer skills?

Add any other experience you think is relevant (inside or outside of work).

Any relevant health considerations e.g. venues, transport, personal assistance, need for
documents in accessible forms? Are you able to travel to meetings in Sheffield?
Please return your signed application to:
Andy Irving,
School of Health and Related Research,
Health Services Research Section,
University of Sheffield, Regent Court,
Room 3012,Regent Street, Sheffield,
S1 4DA
Office: 0114 222 4292
Or email to; a.d.irving@sheffield.ac.uk
The email should be sent from your own email address, as you won’t be able to sign it.
Thank you for your interest in the ShARRP
ShARRP Application Form V2, 17th Nov 2014
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