Committee Application Form

Your Details

First Name ^*

Last Name ^*

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Email ^*

Email 2

I confirm that am a lung cancer nurse specialist spending at least 50% of my working week on clinical activities related to caring for patients with lung cancer

I confirm that my manager is fully supportive of my application for the LCNUK committee

Applicants must commit to attending 6 committee meetings per year and the LCNUK annual conference as well acting as an ambassador for lung cancer nursing, representing LCNUK on key strategic national groups and participating in regular email correspondence.

All committee members must complete an annual conflicts of interest declaration

In the event that there are more applications than positions available an election of the membership will take place and the person with the most votes appointed

Supporting information ^*

Please outline why you want to become a committee member, what you think you will be able to contribute as a member of the committee and any special interests you have related to your role as a lung cancer nurse specialist

Committee Application Form

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Committee Application Form

Join Lung Cancer Nursing UK

Annual Conference

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CORRESPONDENCE ADDRESS

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