NCRI Consumer Membership Applications to the CSGs – Now Open

Could you help to design and deliver cancer research in the UK? If you have recently experienced cancer as a patient or carer and want to help improve patient outcomes and experiences, you may be interested in applying for consumer membership to one of our Clinical Studies Groups (CSGs).

CSGs have a remit to develop portfolios of clinical trials and high-quality studies for specific cancer types or treatment approaches. This includes considering new research questions, developing proposals for trials, securing funding and overseeing the portfolio of existing studies. The groups are multi-disciplinary, with surgery, medical oncology, clinical oncology, radiology, pathology, epidemiology, statistics and other professions involved in clinical trials. Each CSG also has two consumer members to assist the group in understanding the perspectives of patients, carers and the public that are relevant to the work of the group.

Before applying, we recommend you visit the following link for more information about our current CSG vacancies, as well as the full role profile: CSG Consumer Vacancies 2018

Please ensure that you complete all of the questions on this form

Personal Details

*Title

*First name:

*Last name:

*Address:

*City/town:

County:

*Postcode:

*Daytime telephone:

Mobile:

*Email:

*Q1. How did you find out about this opportunity?


NCRI Website (www.ncri.org.uk)INVOLVEOther Consumer/patientPeople in Research (www.peopleinresearch.org)Association of Medical Research CharitiesHealthcare/research professionalOther


If "Other" please specify below:


*Q2. Please indicate your current employment status:


CarerFull-time employmentPart-time employmentSelf-employedUnemployedHousewife/husbandStudentRetiredLong-term sick leaveVolunteerOther


If "Other" please specify below:


*Q3. Please indicate which NCRI Clinical Studies Group (CSG) you are most interested in joining (select all that apply):


Bladder & Renal Cancer CSGBrain Tumour CSGBreast Cancer CSGLung Cancer CSGPsychosocial Oncology and Survivorship CSGPrimary Care CSGSarcoma CSGUpper Gastrointestinal CSG


Please specify your order of preference, staring with your first choice:


*Q4. Please explain your interest in cancer research and your reasons for wanting to work with the NCRI and the particular Clinical Studies Group (CSG) that you have indicated (300 words maximum):


*Q5. Having read the enclosed background information and role description please describe, giving examples, how your skills and experiences would enable you to fulfil the requirements of this role (300 words maximum):


*Q6. What would you hope to achieve as an NCRI consumer member, both in fulfilling the role itself and also in your own development? (300 words maximum):


*Q7. Having read the role description, please describe any training that you may require to support you in this role:


*Q8. Please give the name and contact details of two people, and the capacity in which you know them, that you are happy for us to contact for a reference. Preferably, someone who has known/worked with you in the past two years and is able to comment on your ability to undertake this role:

Reference 1 (all fields required)

Title

First name:

Last name:

Address:

City/town:

County:

Postcode:

Daytime telephone:

Mobile:

Email:

Capacity known:


Reference 2 (all fields required)

Title

First name:

Last name:

Address:

City/town:

County:

Postcode:

Daytime telephone:

Mobile:

Email:

Capacity known:

*Q9. Do you have any access needs of which we should be aware?


YesNo


If "yes" please specify:


*Q10. Any unspent criminal convictions will not necessarily exclude you from applying for this role, but will be taken into consideration when assessing your suitability.

Do you hold any unspent criminal convictions or have any pending court cases?
YesNo

*Q11. Click here to complete the NCRI Diversity Monitoring Questionnaire. This form must be completed before submitting your application.

If you have any enquiries in regards to this application please contact the NCRI Research Involvement Officer or call 0203 469 6121.


Declaration

I agree to the information provided on this form being used for legitimate purposes connected with recruitment and selection monitoring.

I declare that the information given is, to the best of my knowledge, true and complete.

I have completed the NCRI Diversity Monitoring Questionnaire (Q11)

As this application form will be submitted electronically, you do not need to sign it now however you will be asked to do so should you be invited to join an NCRI Clinical Studies Group.

I have read and understood this declaration.