Public Advisory Group Expression of Interest

Thank you for expressing an interest in our Public Involvement and Engagement Advisor Role as part of the Health Determinants Research Collaboration (HDRC) Medway.

Please complete the following form to register your interest. The deadline is Friday 31st March at 5pm. Please note, we may close the process early if we receive a large number of applications.

You can find out about how we will manage your data and information here

1. Your contact details? *

Name:	*
Telephone number:	*
Email address:	*
Postcode:	*

Public Advisory Group Expression of Interest

1. Your contact details? *

2. What you bring to the role
Please explain why you want to be involved in the Medway Health Determinants Research Collaboration project:
*

3. Your skills, qualities and experience
What skills, qualities and experiences will you bring to this role?
*

4. Any other relevant information that you would like to share with us? *

Public Advisory Group Expression of Interest

1. Your contact details? *

2. What you bring to the rolePlease explain why you want to be involved in the Medway Health Determinants Research Collaboration project: *

3. Your skills, qualities and experienceWhat skills, qualities and experiences will you bring to this role? *

4. Any other relevant information that you would like to share with us? *

2. What you bring to the role
Please explain why you want to be involved in the Medway Health Determinants Research Collaboration project:
*

3. Your skills, qualities and experience
What skills, qualities and experiences will you bring to this role?
*