BC Mental Health and Substance Use Services Research Affiliate Membership Application

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BCMHSUS Research Affiliate Investigator membership includes individuals:

who actively engage in research, and
who would like to hold a formal relationship with the BCMHSUS Research Institute because of strong alignment with our clinical mandate and research, and
who have primary appointments/affiliations at other research institutions, and/or
who are BCMHSUS clinicians who are actively engaged in research.

Those interested in membership with BCMHSUS Research that are not actively engaged in research may want to consider applying to be a Community Partner which includes all individuals (who are not BCMHSUS Investigators, Affiliates or Trainees) who are connected to research or who have an interest in being involved with BCMHSUS Research. The Community Partner application can be accessed here.

Endorsement by Executive Director Required for Affiliate Membership

Affiliate membership is obtained by submission of an Affiliate Membership Application for review and endorsement by the Executive Director, BCMHSUS Research. An Affiliate Investigator membership is valid for a two-year period only and must be renewed. A justification for renewal as well as endorsement by the Executive Director, BCMHSUS Research, must be obtained in order to continue the membership.

Eligibility Criteria:

Investigator with primary appointment or affiliation at another research institution and/or a BCMHSUS clinician actively engaged in research relevant to BCMHSUS and its programs/ populations
Significant engagement in a research program that is closely aligned with a BCMHSUS investigator, e.g., co-development and/or implementation of large-scale research projects

Responsibilities of Affiliate Investigator:

Actively participates in research relevant to BCMHSUS
Adheres to BCMHSUS, PHSA, university and hospital policies governing the conduct of research and professional practice

Benefits:

BCMHSUS is not responsible for providing any direct or indirect infrastructure support. Key benefits related to resources, programs and services include the following:

Eligible to receive BCMHSUS RI newsletters and attend BCMHSUS-organized research activities/events
Trainees (including summer students) are eligible for studentships, and may participate in BCMHSUS research activities
Access to BCMHSUS RI administrative / operational services as available/applicable
Use of touchdown space (if available)
May co-supervise a BCMHSUS summer student with a BCMHSUS Investigator

Application Instructions:

Step 1: Complete this form, e-sign it and submit.

Step 2: The BCMHSUS Executive Director will review and if endorsement is given, will e-sign your application.

Step 3: You will be notified via email within 6 weeks of the results of your application.

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BCMHSUS Affiliate Membership - Disclaimer

Please complete this application if you wish to apply for Affiliate Membership with the BCMHSUS Research Institute. The information you provide will be collected for the purposes of processing your membership application, administering and communicating with you about your membership and evaluating our programs and services.

Questions: Please direct any questions regarding the application and/or how your information will be used to: BCMHSUS Research Institute, 938 W 28th Avenue, Vancouver, 604-875-2000 extension 3599 and to BCMHSUS_research@phsa.ca

You may also contact the BCMHSUS Research Institute if you wish to withdraw your application at any time.

PHSA collects your personal information, such as full name, and professional and academic information contained in your CV, under the authority of the Freedom of Information and Protection of Privacy Act (FIPPA) relying on sections 26 (c) and (e) of FIPPA. The information collected will only be used for the purposes described in this application or as authorized or required by FIPPA and other applicable laws.

The BCMHSUS Research Institute and the technical support team will have access to your information. The administration team will collect application information, which will be stored electronically in PHSA's BC Children's Hospital Research Institute's secured network for the length of your membership and for a period of one year after the end of your membership, unless we are required to retain it longer for administrative, operational or legal purposes.

Applicant Information

I have read and understand this form. I voluntarily consent to PHSA collecting, using, and disclosing the information I provide as described above.

Yes, I consent (proceed to survey)

No, I am interested in Community Partner Membership (redirect to Community Partner Membership application)

No, I do not consent (please exit from survey)

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