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Bellberry is committed to continual business and quality improvement and implemented an online submission system called eProtocol in 2009.

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For all matters relating to your participation such as scheduling, medications, or side effects, please contact your study site. Bellberry provides independent ethical oversight only.
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HREC Member Expression of Interest form

Please complete the form below to be considered for upcoming Human Research Ethics Committee (HREC) membership opportunities at Bellberry.

"*" indicates required fields

Name*

Title First name Last name

What is your preferred title?*

Email*

Mobile number*

Business phone (optional)

Home phone (optional)

State of residence*

Let us know where your state of residence is...

Are you of Aboriginal or Torres Strait Islander descent?*

To meet national requirements, Bellberry committees include members from each category defined in NHMRC National Statement on Ethical Conduct in Human Research, section 5.1.30

Which membership category are you interested in?*

a) Chairperson — suitable experience, including previous membership of an HREC, whose other responsibilities will not impair the HREC’s capacity to carry out its obligations under the National Statement

b) Community representative — a broad community or consumer perspective, with no paid affiliation with Bellberry

c) Professional care — current experience in the professional care or treatment of people (for example, a nurse, counsellor or allied health professional)

d) Pastoral care — a pastoral care role in a community such as an Aboriginal and/or Torres Strait Islander elder or community leader, a chaplain, a minister of religion or other religious leader

e) Legal professional — a qualified lawyer, practising or not, and not engaged to advise the institution on research-related or any other matters

f) Researcher — current research experience that is relevant to the proposals considered at the meetings you would attend

Current job title

Australian honours

Do you have any relevant qualifications? If so, briefly tell us about it. (Optional)

Do you have any Human Research Ethics Committee experience? If so, briefly tell us about it. (Optional)

Do you have any experience in human research? If so, briefly tell us about it. (Optional)

How did you hear about Bellberry?*

Select all that apply.

Colleague or professional referral

Professional association or society

Conference or event

Bellberry website

Google search

Other

If you heard about Bellberry through a colleague or professionla referral, please provide their name

If you heard about Bellberry through a professional association or society, please provide the name

If you heard about Bellberry at a conference or event, please provide the name of the event

Let us know how else you heard about Bellberry...

Please attach your CV

Accepted file types: pdf, doc, docx, Max. file size: 2 MB.

AEC Member Expression of Interest form

Please complete the form below to be considered for upcoming Animal Ethics Committee (AEC) membership opportunities at Bellberry.

"*" indicates required fields

Name*

Title First name Last name

What is your preferred title?*

Email*

Mobile number (optional)

Business phone (optional)

Home phone (optional)

State of residence*

Let us know where your state of residence is...

Are you of Aboriginal or Torres Strait Islander descent?*

Do you have any relevant qualifications? If so, briefly tell us about it. (Optional)

Do you have any relevant experience? If so, briefly tell us about it. (Optional)

How did you hear about Bellberry?*

Select all that apply.

Colleague or professional referral

Professional association or society

Conference or event

Bellberry website

Google search

Other

Let us know how else you heard about Bellberry...

Please attach your CV

Accepted file types: pdf, doc, docx, Max. file size: 2 MB.

CCAP Member Expression of Interest form

Please complete the form below to be considered for upcoming Consumer and Community Advisory Panel (CCAP) membership opportunities at Bellberry.

"*" indicates required fields

Name*

Title First name Last name

What is your preferred title?*

Email*

Mobile number (optional)

Business phone (optional)

Home phone (optional)

State of residence*

Let us know where your state of residence is...

Are you of Aboriginal or Torres Strait Islander descent?*

What is your lived experience of illness or disease?*

Please note: Personal experience of a health issue — as a patient, carer, family member, or close friend — is mandatory for all Bellberry CCAP Members.

Do you have any relevant qualifications? If so, briefly tell us about it. (Optional)

Do you have any relevant work experience? If so, briefly tell us about it. (Optional)

How did you hear about Bellberry's CCAP?*

Select all that apply.

A research study or trial I took part in

Referral from a healthcare provider or hospital

Patient or consumer advocacy group

Word of mouth — family, friend or fellow patient

Bellberry website

Google search

Other

Let us know how else you heard about Bellberry's CCAP...

Please attach your CV, if relevant (optional)

Accepted file types: pdf, doc, docx, Max. file size: 2 MB.