Expression of Interest Form For those considering research at the Centre for Kidney Disease Research The Centre for Kidney Disease Research (CKDR) undertakes research to improve kidney health in our population. The Centre’s three main areas of expertise are: chronic kidney disease, kidney failure and dialysis, kidney cancer and drug testing including alternative therapies. We have clinical and laboratory based projects. Our team is internationally recognized for its excellence in research. The CKDR is a research centre within the School of Medicine, The University of Queensland, and is located at two hospital campuses, Princess Alexandra Hospital and the Royal Brisbane and Women’s Hospital in Brisbane. Before completing the form below, please ensure that you have visited the CKDR’s website www.ug.edu.au/ckdr. If you are interested in postgraduate studies please ensure you read the postgraduate section of the CKDR website and the University of Queensland website for details on research higher degrees: http://www.ug.edu. au/grad-school/admission If you are interested in learning more about joining the research team at the CKDR, please provide the following details: Name: Degree/s: Honours Yes No Class: Research experience: Work experience: Expression of interest form for those considering research with the Centre for Kidney Disease Research 09/10 Which of the following topics are you interested in? Yes No Any specific ideas/topics? Yes No Any specific ideas/topics? Yes No Any specific ideas/topics? Yes No Any specific ideas/topics? Yes No Any specific ideas/topics? Chronic kidney disease Renal failure and dialysis Kidney cancer Drug testing including alternative therapies Modification of kidney disease using nutrition and exercise What types of research are you interested in: Honours Yes No Part-time Full-time Masters Yes No Part-time Full-time PhD Yes No Part-time Full-time Volunteer research assistant work Yes No Part-time Full-time Paid research assistant work, if available Other Yes No Part-time Full-time Where do you hope your research to be based: Onsite: CKDR Yes No Current workplace Yes No Elsewhere (please stipulate) Yes No Expression of interest form for those considering research with the Centre for Kidney Disease Research 09/10 When do you hope to start your research? With regards to your career, what do you hope to be doing in 5 years? Is there any other information you want to bring to our attention? Please submit this form, along with your CV and academic record, to cnrc2ug.edu.au. A senior researcher will get in contact with you to discuss your interest in more detail, as soon as possible. Expression of interest form for those considering research with the Centre for Kidney Disease Research 09/10