Registration form

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Registration form

Thank you for your interest in joining the UK Preconception EMCR Network.

The Network brings together students (e.g. MSc, PhD, medical students), Early- and Mid-Career Researchers, clinicians and policy makers & Mentors working across multiple disciplines in the field of pre- and interconception health and care in the UK.

Through regular meetings and activities we aim to provide a safe and supportive environment to discuss and share our research, expertise and skills; create opportunities to develop new research ideas and form multi-disciplinary collaborations; and build capacity to generate impact in the pre- and interconception health and care field.

Please complete this registration form to become a member and receive updates on upcoming meetings and activities.

The information you provide will be securely stored and only accessible to the Leadership Team of the Network.

Chair, Dr Danielle Schoenaker | University of Southampton | d.schoenaker@soton.ac.uk
Co-Chair, Dr Kathryn Hesketh | University of Cambridge | kathryn.hesketh@mrc-epid.cam.ac.uk

Title and name *

Email address *

Organisation and department *

I would like to join the network as a: *

Note: years post-PhD or highest qualification may account for career interruptions

Student (e.g. MSc, PhD, medical student)

Early-Career Researcher/Clinician/Policy Maker (0 to 5 years post-PhD or highest qualification)

Mid-Career Researcher/Clinician/Policy Maker (6 to 15 years post-PhD or highest qualification)

Mentor

Other:

The primary focus of my work is: *

Research/academia

Policy

Clinical practice

Other:

Why are you interested in joining the Network? (Tick all that apply) *

These goals are based on an initial mapping of the Network’s purpose. Additional ideas are welcome.

Networking opportunities

Developing links between research, policy and clinical practice

Sharing my research to obtain feedback

Developing and sharing new research ideas for collaboration

Hearing about the latest research conducted by members

Sharing of relevant publications, upcoming conferences, seminar and funding opportunities, etc

Being part of a safe and supportive space to interact

Providing / receiving mentorship in the field of pre- and interconception health and care

Other:

Required

Are there specific activities or events you would like us to organise? *

Would you like to have a role in the governance of the Network in any capacity? *

Yes

Maybe, let me know if opportunities come up

By signing up to become a member of the UK Preconception EMCR Network, you have the opportunity to also become a member of the UK Preconception Partnership. Are you ok with this? *

You can find out more about the UK Preconception Partnership here: https://www.ukpreconceptionpartnership.co.uk/

Yes, please add me to the email list for the UK Preconception Partnership

No, please do not add me to the email list for the UK Preconception Partnership

Any other comments or suggestions

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