2023 NIPC Fellowship Scheme Now Open

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Step 1 of 11 - Personal Details

First Name(s):*
Surname:*
Title*
Postal Address*
Email*

Please indicate your highest university qualification by selecting the closest option from those listed:*
Do you hold a postgraduate qualification in preventive cardiology, preventive medicine, cardiac rehabilitation, or a related discipline?*
Highest Academic Award:*
Year of Graduation:*
Awarding Body (e.g. Trinity College, Dublin):*
Please provide brief details of any verifiable prizes, awards or scholarships you received which are relevant to any aspect of preventive cardiology (maximum 200 words).*

For how long (to the nearest number of years) have you been a member of the NIPC Alliance?*
Please enter a number greater than or equal to 0.
Are you a member of the NIPC Alumni group?*
NIPC Alumni
Do you, or have you ever held, a position of leadership in the NIPC?*
Please provide a brief description (maximum 200 words) of your role(s).*
Briefly summarise any other activities, which highlight your engagement with NIPC (max. 100 words)*

Have you engaged in advocacy activities relevant to this application?*
Please provide a brief description (maximum 200 words) of the regional/national/international advocacy activities you have undertaken in the area of CVD prevention, or in a closely related domain.*

Please provide brief details (maximum 300 words) of your participation in, promotion of and/or leadership or delivery of recognised prevention and cardiovascular educational programmes, such as, but not restricted to, NIPC short courses, NIPC masterclasses, or the Postgraduate Diploma or Masters in Preventive Cardiology at NUI Galway.*

Are you a registered or retired healthcare professional?*
Please summarise (maximum 200 words) your clinical experience of relevance to CVD prevention.*

Have you completed research in any aspect of CVD prevention and cardiovascular health?*
List your conference presentations (if any) – in oral and/or poster format - which are relevant to this application.
Please provide dates, venue, name of conference and title of presentation.
List your publications or periodicals (if any) in peer-reviewed academic journals and/or text books which you consider to be relevant to this application.
Please provide full citation for any journal article or text book chapter.
Have you supervised undergraduate/postgraduate student research in the field of prevention and cardiovascular health?*Please provide details of institution, degree programme and project title.
Please provide details of your research (maximum 200 words).*

Have you contributed to the development and dissemination of guidelines and/or public policy in the field of prevention and cardiovascular health or a related domain, nationally and/or internationally?*
Please summarise your involvement, focusing on the societal impact of your activities (maximum 200 words).*

Please nominate a Fellow to provide a reference. A reference must be provided by a current full Fellow of the NIPC who is in a position to comment on your application (excludes committee chair, Associate and Honorary Fellows). A list of Fellows is available on the NIPC website.*
List of Fellows
Please upload a current summary CV (maximum 2 A4 pages) in PDF format.*
Upload FileAccepted file types: pdf, Max. file size: 50 MB.

Please review your submission and edit for accuracy as appropriate. When you are satisfied with your application, please proceed to the secure application fee payment page before submitting your application.
Terms and Conditions*
I agree to the terms and conditions
By submitting this application you agree to the following terms and conditions:

By submitting an application you agree to receive email updates regarding Fellowship scheme announcements.

All applications must be a truthful representation of the applicant’s involvement, with a proven record.

All applicants agree to be bound by the decisions of the Fellowship committee.

Application fees are non-refundable.

Your information will be stored electronically on a secure database. Information is retained in line with the General Data Protection Policy (GDPR). This means that we will only retain your personal information for the length of time needed to process your application.
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