Childhood Dementia Initiative : Expression of Interest

Scientific and Medical Advisory Committee

Expression of Interest Form

Thank you for your interest in the Childhood Dementia Initiative Scientific and Medical Advisory Committee. Please complete the form below and we will be in contact.

Personal information

First Name *

Last Name *

Email Address *

How many hours a month are you able to commit? *

What positions do you hold with other boards or organisations? *

What are your main research/clinical interest areas? *

Skills matrix

Please use the dropdown menus to rate your knowledge and experience in the areas below. This skills matrix will help us to understand the strengths and any gaps in the assembled committee. We will also assess diversity when deciding on the final SMAC composition.

Collaborative research networks *

Healthcare system *

Translational research (including clinical trials) *

Data (including the collection and sharing of patient data and research data) *

Research strategy *

Childhood dementia knowledge (clinical and/or scientific) *

Therapeutic development *

Global Partnerships *

Government relations *

Securing funding *

Industry research and partnerships *

Is there anything you'd like to add or share with us?

Scientific and Medical Advisory Committee

Expression of Interest Form

Personal information

Skills matrix

Ending childhood dementia

Get in touch

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Scientific and Medical Advisory Committee

Expression of Interest Form

Personal information

Skills matrix

Ending childhood dementia

Help us spread the word

Get in touch

Stay up to date