Application Form SEC

Application Form

Science & Education Committee (SEC)
Introduction

Application

Please read the description of the post before applying!

Qualifications, terms of reference, duties and responsibilities :

https://escrh.eu/about/rules/#6_Science_Education_Committee
- All members standing for election must complete this application form.
- All meetings and correspondence are in English.
- Applicants must be able to commit the time and resources requested of them as a member of the Science and Education Committee.
Who can apply?

Any paid–up member of ESC may apply, regardless of professional group.

Candidates can be Board members or non-Board members.

WMC members cannot be members of the Executive Committee.

Qualifications:
- ESC membership
- Previous or current work within any aspect of sexual and reproductive health.
- Leadership skills
- Team player’
- Experience of
  - teaching / education of a variety of healthcare professionals (HCPs) and other groups in different settings and/or
  - management experience and/or
  - writing protocols or implementation of policies
Desirable:
• Experience of involvement within the ESC
• Peer reviewed publications in the last 5 years
• Having been part of a project that has resulted in a peer reviewed publication
• Guideline development
• Experience of scientific research
• Academic experience
• Teaching qualification

Deadline

The closing date will be 22 August 2024.

Election procedure

https://escrh.eu/about/policies/#Cfr_Rule_8_Election_procedure_for_all_the_above_excluding_the_Editorial_Board
PART A

Name and Contact Details of the Applicant
Name Applicant

First NameLast Name
Country
Birth Date

MonthDayYear
Medical DoctorNurseMidwifeCounselorResearcherOther
Please state your job title if you selected "other" in the former question.
Current Address (Work)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
PART B

Application Details
Qualifications
Present Appointment(s)
List experience of work in SRH with dates and position: include all aspects including clinical / educational / teaching / management / research
List any ESC activities i.e., as a Board or committee/group member or attendance/participation at an ESC Congress:
List any peer-reviewed publications within the last 5 years*(We appreciate that for some HCPs contributing to peer-reviewed papers is not easy. If this is the case, list any projects that you have been involved in (within the last 5 years) that have resulted in a publication, presentation or led to a significant change in your practice.)
In not more than 100 words give your reason for applying for this post:
In not more than 50 words note any other relevant SRH experience:
Any other supporting information you would like to share?
I have read, understand and agree with the information provided:

I am aware that the ESC Central Office keeps a record of my above-mentioned personal data so that they can provide me with a better service. ESC treats my personal data with the necessary confidentiality.
My application form will be distributed to the Selection Committee.
Signature

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Name

First NameLast Name
Date

MonthDayYear
Date
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Application Form

PART A

PART B