Devolved Nation Board Nomination Form (Scotland or Northern Ireland)

Thank you for your interest in joining the RCoA Scottish or RCoA Northern Irish Board. Please specify the vacancy you are applying for at the top of the form.

There are the following vacancies for the RCoA Scottish Board:

  • Two consultant vacancies: Consultant members of the Board are elected for a term of three years and are eligible for re-election for one further term of three years.

There are the following vacancies for the RCoA Northern Irish Board:

  • Two consultant vacancies: Consultant members of the board are elected for a term of three years and are eligible for re-election for one further term of three years.
  • One SAS vacancy: SAS members of the Board are elected for a term of three years and are eligible for re-election to serve for one further term of three years.

In order to apply for one of these posts we would like you to complete this nomination form. We advise you take a look at the Devolved Nations Boards webpage which includes information on the role and the Boards term of reference before completing this form.

Section 1: Candidate's Details
Post applied for:
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(Optional: please upload your basic CV via the upload facility above. It should be no more than two A4 pages, contain brief career highlights, employment history, publications, other areas of clinical interest etc with no hyperlinks. Please note it should not contain any sensitive data that is not freely available in the public domain such as home address, phone numbers, other personal details etc).
Do you have any conflicts of interest?
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Section 2: Election Statement
Why are you standing for this role and why should your peers select you to represent them?
 

Confirmation

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