The Royal College of Veterinary Surgeons (RCVS)

ETHICS REVIEW PANEL MEMBERSHIP

We are inviting applications for membership of the new Ethics Review Panel which will be established in July 2016.

Candidate Application Form

March-April 2016

Personal Information

Candidate Details:
Surname: / First Name: / Initials: / Title:
Address: / Email address:

Declarations:

You must be currently registered with the RCVS

Registration Number

Do you have any personal or business interests, positions of authority or other connections with organisations that might be relevant to the work of the RCVS and which could lead to a real or perceived conflict of interest were you to become a Panel member? (Failure to disclose such information could result in an appointment being terminated.)

No / Yes / If “Yes” please give details below

Please indicate which positions you would prefer to be considered for: Veterinary Nurse member, Veterinary Surgeon member (in practice), Veterinary Surgeon Researcher (Surgical), Veterinary Surgeon Researcher (Medical), Veterinary Surgeon Researcher (Qualitative).

General Instructions
Before you complete this form, please ensure you have read the role description thoroughly.
In the questions below please provide examples of where your knowledge and experience matches the essential skills required for the role. Your response to each section should provide specific and detailed examples that demonstrate how you meet each competency (including what you did to achieve a specific result).
1. Please describe your career to date and your relevant research experience.
(Up to 300 words)
2. Please outline your experience of reviewing applications for merit or ethical review.
Please provide examples.
(Up to 150 words)
3. Communicating Effectively
You will need to provide strong evidence of your inter-personal skills where you worked collaboratively with others to achieve set goals. Please describe briefly up to two examples within the last five years.
  1. (Up to 150 words)

  1. (Up to 150 words)

4. It is difficult to anticipate the volume of applications that will be received by the Ethics Review Panel as it has not previously run. Please describe any other relevant work commitments and how flexible you could be if asked to take on additional work.
(Up to 100 words)
5. Applying your skills and experience to the Ethics Review Panel.
Please describe how the skills and experience you have would make you a suitable Ethics Review Panel member. Please provide examples which illustrate your analytical, organisational, written and assessment skills.
(Up to 300 Words)
6. Eligibility for Employment
Please confirm that:
  • You have no criminal convictions or outstanding criminal charges.

  • You are not subject to a finding of impaired fitness to practise by any regulatory body.

  • You are not disqualified from a profession or as a company director.

  • You are not an undischarged bankrupt, and not the subject of any bankruptcy restriction order.

  • You are not included in any barred list under statutory provisions for safeguarding vulnerable groups.

If you are submitting the form electronically, please type your name and date in the boxes, or use an electronic signature if available. You do not need to print, sign and scan the application form. A signature will only be required if you are appointed.
Signature: / Date:

To apply, please send the completed application form and CV to Natalie Heppenstall, Standards & Advisory Officer, by email to or by post to Royal College of Veterinary Surgeons, Belgravia House, 62-64 Horseferry Road, London, SW1P 2AF. The closing date for applications is 15 April 2016 at 5pm.

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