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What is your name?
What is your preferred contact method? Please provide email and/or phone number
Why are you interested in joining the FHMRI consumer advisory board?
What skills and experience do you bring to the group?
Please summarise past experiences working with researchers or participating in research
Please summarise past experiences working on groups or committees
Do you have any additional information that you would like to share in regards to your application?
Are you interested in? (tick one or both)
Co-chair position of the Consumer Advisory Board (Consumer representative)
Member of the Consumer Advisory Board (Consumer representative)
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