Membership application form | Mesothelioma Research Network

By joining our Mesothelioma Research Network (MRN) you can:

Search for other MRN members to connect and collaborate with
Access member-only learning opportunites via our webinars
Get preferential sign up for the MRN Research Day
Apply for research funding that is exclusive to MRN members

Joining us is free.

If you are a research support organisation applying to join the MRN please email [email protected] with the name of the organisation and we will get back to you to check some further details.

Title

First Name

Last Name

Email address

Work telephone

Job role

Where do you work

Is your job role funded partly or wholly by a commercial source?

Yes

Please declare the sources of funding for your role. Give the names of all funding sources and indicate the portion of funding from each source totaling 100%.

Type of research conducted (you can select more than one)

Applied health

Basic

Clinical

NA (health care professional)

NA (research support role)

Translational

Other

Type of research other

How are you involved in mesothelioma research? If not currently involved, explain how you plan to be so in the near future.

How do you expect to participate in the MRN? E.g., accessing funding, particapting in events/online learning, collborating with others.

Privacy notice

This information will be used to assess eligibility for the Mesothelioma Research Network. If approved as a member, we will contact you and ask for further information. Your details will be used for the express purpose only and won't be shared with any third parties.

Terms of membership

Please review the terms of membership (opens in a new tab) and accept them below.

I confirm that I have reviewed the terms of membership and accept them.

Math question 2 + 17 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.