Join Dementia Research Champion: application form
Join Dementia Research is an easy-to-use service that allows people to register their interest in being contacted about dementia research studies by research teams around the UK.

The Join Dementia Research Champions are a national network of lay and professional people who want to play a role in accelerating progress in dementia research. They have volunteered to raise awareness of the importance of Join Dementia Research, and clinical research in general, in their personal and professional communities.

This application form is for people who would like to apply to become a Join Dementia Research Champion. People with dementia, their carers, family members, health professionals and research staff, who are committed to raising awareness of dementia clinical trials, are all welcome to apply for the role of Join Dementia Research Champion.

There are three sections. Please enter answer the questions in each section and we contact with you with further information.

Thank you for your interest.

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