ICCPM Researcher Application Form

Please read the Terms of Reference and complete this form to be considered for inclusion in the ICCPM Research Program.

An active ICCPM Membership is required. To learn more about ICCPM Membership, please see our Membership Page or Sign Up today.

Individual Researcher Details

Bio

Organisation Details

This research is conducted via:

Confirm

I confirm that the research project, methodology and all necessary approvals (including ethics) have been approved by my organisation.

Project Details

Project Description (300 words max)

Relevant area within the ICCPM research agenda:

Other (if unlisted in the dropdown menu):

Request Details

Please tell us how ICCPM can support your research.

Description of request (eg survey, interview, etc.)

Instructions and additional comments. Where applicable, consider the url for your online survey, public contact details, deadline, etc.

Consent

I have read and agree to all of the terms and conditions outlined in the Terms of Reference.

I agree to acknowledge ICCPM’s support and participate in the activities outlined in the Terms of Reference.

Virtual Signature

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