Ireland/Northern Ireland/NCI Cancer Consortium s1

Cochrane 2-Day Training Course Application Form 2016

Please complete this 2-page application form and submit before the deadline of Monday 11 April 2016 at 10 am.

Completed application forms should be sent as an email attachment ONLY to [email protected]

Refer to the guidance notes and course description at http://ireland.cochrane.org/cochrane- training-courses-2016. Successful applicants will be informed as soon as possible after the application deadline. Those offered a place must reply to the offer within a week to guarantee their place. A waiting list will be created for each course, so subsequent offers may be sent out closer to the course offerings.

Applicants Details Name:

Current Work Details Title/Position: Department: Address:

Tel Number: Email Address:

Two-day Cochrane systematic review course - Dates & Locations  Belfast (25 & 26 May 2016)  Cork (3 & 4 May 2016)  Dublin1 (30 & 31 May 2016)  Dublin2 (12 & 13 September 2016)  Galway (20 & 21 October 2016)  Waterford (9 & 10 May 2016) Please indicate which venues would be your first and second preferences.

Course location and date - First Preference

Course location and date - Second Preference

Please describe your previous engagement with systematic reviews, both using them and conducting them. If you have completed a systematic review, give its bibliographic reference and the types of studies included in the review. (200 words maximum)

Cochrane Ireland 2-Day Training Application 2016 1 Are you are planning to conduct a systematic review within the next year? Yes: No: If yes, please describe the focus of the systematic review and your reasons for carrying it out. (200 words maximum)

Please describe why completing this training course will assist you in your practice, research or career. Include the reasons why you believe this training is suitable and important for you personally and for your organisation or profession. (200 words maximum)

Additional Training Suggestions

Would you be interested in attending training in aspects of critical appraisal or systematic reviews not offered currently? If so, please describe the type of training you would like to see available in Ireland and the most suitable format for it (e.g. face-to-face, online, etc.).

Cochrane Ireland 2-Day Training Application 2016 2