Dementia Research Advisory Team: Involvement Request Form

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This form is specifically for the purpose of facilitating engagement with the Dementia Research Advisory Team. This team is made up of people living with dementia and caregivers who wish to take part in research in a Person Public Involvement (PPI) Capacity.

We require you to fill in an application form outlining your plans so we can review it and discuss it with the team members before they consider supporting your work. Please note this can take up to 3 weeks from submission.

-Instructions-

Members of the Dementia Research Advisory Team will read this form.

1. Please read our Guidelines for Engagement before completing this form (https://bit.ly/37mWVV8)

2. Please provide no more than a paragraph in response to each of the following, and ensure that responses are written in plain language terms.

3. This form needs to have enough information to help members of The Dementia Research Advisory Team decide if they want to be involved in the study.

4. Wording should be respectful (avoiding research terminology or language that may be upsetting for the reader living with or supporting a person with the condition).

In completing this form I understand that

It does not guarantee support. There are many reasons we might not be in a position to help but, in that case, we will endeavour to explain our reasons and offer advice, as appropriate

In the event that we are able to offer support, we will offer the opportunity to the Dementia Research Advisory Team members but cannot guarantee that there will be interest in the project

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