All levels of membership are free, and members can apply to move between levels as they gain experience and expertise. Please submit your completed application form, or address any queries, to our Communications Lead, Emma Smith (). As a member you will automatically be added to our newsletter subscription list; please just let Emma know if you do not wish this to occur, and you can unsubscribe at any time by emailing too. Membership Application 1. Applicant Details Name (First name; Surname) Job Title currently held Department & Organisation Country Email Telephone Current HIC-Vac network membership level Investigator / Associate / Affiliate / non-member How did you find out about the HIC-Vac Search engine/ Twitter/ Personal Network? Recommendation/Other 2. Membership level – please tick the level of membership you wish to apply for: Affiliate (please check section 3 and sign section 8, and submit your form) Associate (please complete all below questions) Investigator (please complete all below questions) 3. Terms and Conditions of Membership - please confirm: You have read our (v3.0) and will abide by these, particularly with regards to confidentiality of unpublished data at meetings. You agree that we may contact you for purposes as described in our . 4. Career History and Current Role - please outline your career to date, and your area of specialism (max 500 words) 5. Value-adding – please describe how you would add value to the HIC-Vac network (500 words) 6. Required additional documents – please include the following with your application if you are applying for Investigator or Associate membership: CV (2 page) and publications list (1 page) 7. Keywords – please tick as many as apply Existing Controlled Human Infection Models (CHIM) researcher Viral Bacterial Parasites LMIC Supportive expertise Industry
All levels of membership are free, and members can apply to move between levels as they gain experience and expertise. Please submit your completed application form, or address any queries, to our Communications Lead, Emma Smith (). As a member you will automatically be added to our newsletter subscription list; please just let Emma know if you do not wish this to occur, and you can unsubscribe at any time by emailing too. Membership Application 1. Applicant Details Name (First name; Surname) Job Title currently held Department & Organisation Country Email Telephone Current HIC-Vac network membership level Investigator / Associate / Affiliate / non-member How did you find out about the HIC-Vac Network? Search engine/ Twitter/ Personal Recommendation/Other 2. Membership level – please tick the level of membership you wish to apply for: Affiliate (please check section 3 and sign section 8, and submit your form) Associate (please complete all below questions) Investigator (please complete all below questions) 3. Terms and Conditions of Membership - please confirm: You have read our (v3.0) and will abide by these, particularly with regards to confidentiality of unpublished data at meetings. You agree that we may contact you for purposes as described in our . 4. Career History and Current Role - please outline your career to date, and your area of specialism (max 500 words) 5. Value-adding – please describe how you would add value to the HIC-Vac network (500 words) 6. Required additional documents – please include the following with your application if you are applying for Investigator or Associate membership: CV (2 page) and publications list (1 page) 7. Keywords – please tick as many as apply Existing Controlled Human Infection Models (CHIM) researcher Viral Bacterial Parasites LMIC Supportive expertise Industry
HIC-vac_membership_application_v3.0.docx