Peer Reviewer Expression of Interest Form

Please complete this form if you would like to be registered as a peer reviewer for Pharmacy Research UK (PRUK). Your details will not be shared with any other organisation. We will contact you if we receive any applications suitable for your skills and experience. Please email your completed form to .

Name (title/forenames and surname)
Current job title
Institution/ Organisation
  1. Education (Please list the titles of relevant undergraduate and postgraduate degrees obtained and specify whether you have completed a doctorate).
  1. Subject area

For example: pharmacy, health economics, sociology, psychology, health services research, workforce, etc.

  1. Methodological Expertise

For example: quantitative research, qualitative research, etc.

  1. Research/ Subject Interests

Please include details of your research and/or teaching interests.

  1. Previous Peer Review Experience

Previous peer review experience is not essential, however if applicable briefly detail any experience below (for example, grants, journal articles, student projects, etc.)

  1. Conflict of Interest

You should not act as a reviewer if you receive an application for review and identify a potential conflict of interest, for example:

- If you are a personal friend or relative of the applicant(s)

-If you have assisted in the preparation of the bid (although not named in it)

- If the application is from your own institution

- If the application is from an institution with which you have an active role either in a consultative, personal, or employment capacity.

To assist us with the review process, please list below any other institution/organisation, apart from your current one, with which you have an active role, either in a consultative, personal or employment capacity, and which might constitute a conflict of interest.

6. Availability 2016

Please tick below if you are available to be called upon to review an application in our 2016 peer review period (suitable peer reviewers will be contacted on 6th May. All completed assessments will need to be returned to PRUK by 27th May).

PRUK Funding Applications Peer Review – May 2016

(If you are not available, but are interested in participating, we will contact you in 2017).

7. Notes

The role is carried out on a voluntary basis. We understand that reviewers are busy people and can withdraw their offer at any time. Reviewers have no obligation to perform this role for any specific assessment process that they may be invited to review.

The peer review of applications should be conducted in line with the guidance and assessment forms provided by Pharmacy Research UK. Reviewers are asked not to alter copy or circulate any documentation allocated for assessment.

Please email completed form to .

Page 1 of 2