Engage Researchers Academy 2019-20 1 Start 2 Preview 3 Complete Engage Researchers' Academy 2019-20 Application FormThank you for your interest in the Engage Researchers' Academy. To apply for a place in the 2019-20 cohort, please complete the questions below, contacting Stephanie Todd (stephanie.todd@uwe.ac.uk) if you have any questions. We will inform you about the outcome of your application as soon as possible. Booking and payment for the Academy will take place thereafter.N.B. by completing this application form you are committing to attend all three Academy sessions (16-17 October 2019; 19-20 February 2020; 17-18 June 2020) and to paying the Academy fee (£990; or £800 as a limited early bird rate). Data Protection and ConsentPlease read carefully before continuing.In order to receive your application, the NCCPE requires your consent for us to process your personal data. Information you give will be treated as strictly confidential and handled in accordance with the provisions of the General Data Protection Regulation (GDPR)..Please see our Privacy Notice for further information on how your personal data will be processed.I consent to the processing of my personal information as described in the Privacy Notice for the purposes of: Please tick all that apply Processing my application (required) Emails from the NCCPE about public engagement news and events I understand that my personal information will:Only be shared without my permission when required or permitted by law, for example if there is a serious risk of harm to me or others;Be kept for up to ten years.Once given, you can withdraw your consent at any time by contacting nccpe.enquiries@uwe.ac.uk. All personal data is processed in accordance with the applicable UK data protection legislation. The joint Data Controllers are UWE Bristol and University of Bristol. For data protection queries, please write to dataprotection@uwe.ac.uk First name * Last name * Job title * Department/Group Faculty/school Organisation * Email address * Biography * (Max 150 words) Please describe your research * (Max 150 words) Tell us about your experience of engagement * What are the main challenges you face as an engaged researcher? * What does being an engaged research leader mean to you? * What are you hoping to get out of participating in the Engage Researchers' Academy? * How will you share what you learn in the Academy with others? * In order to attend, participants must have the support of their departmental or institutional lead for engagement and their head of department * I confirm that I have the support of my departmental or institutional lead and head of department to attend the Engage Researchers' Academy. I do not have the support of my departmental or institutional lead and head of department to attend the Engage Researchers' Academy. Other... In order to attend, participants must have the support of their departmental or institutional lead for engagement and their head of department Other... What other forms of CPD, training or support have you received as an engaged researcher? * Masterclasses are a core component of our Engage Researchers' Academy, which of the following Masterclasses would you be interested in attending? * Evaluation Performing engagement Community engagement Ethics of engagement Media engagement Science communication Writing for different audiences Engaging with controversial issues Working with schools Patient and Public Involvement and Engagement Event planning Other... Masterclasses are a core component of our Engage Researchers' Academy, which of the following Masterclasses would you be interested in attending? Other... Would you like to receive the National Co-ordinating Centre's e-newsletter? * Yes No Do you have any personal requirements that you would like us to be aware of e.g. access, support, medical etc.? * - Select -YesNo If yes, please provide details of your requirements and any adjustments that you would like us to make: Please tell us about any specific dietary requirements Are you happy for your contact details (email address and biography) to be shared with the other participants in the Academy? * Yes No Are you happy to be filmed/photographed at this event? * Yes No Thank you for you application. To submit, please click on the button below. You will receive confirmation of your application by email. If you application is successful you will be sent a link to pay the fees of £990 (£800 earlybird).If you have any questions in the meantime please contact stephanie.todd@uwe.ac.uk