Registration Form

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Registration Form

The AutoImmunity Research Advisors (AIRA) Group is a patient and public involvement and engagement (PPIE) group focused on autoimmune diseases. AIRA’s mission is to involve patients suffering from autoimmune diseases, as well as members of the public with interest in Biomedical Research, to give them voice and the opportunity to have an impact on scientific research.

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Full Name *

Email *

City / Country *

Why do you want to join AIRA? *

I am a patient of an autoimmune disease

I have a relative/friend with an autoimmune disease

I like science

Prefer not to say

Diğer:

Gerekli

What type of activities would you be able to join? *

On-line only (MS Teams or Zoom meetings, or email correspondence)

In-person only (London area)

Both

Gerekli

Would you require some training in what public engagement consists of? *

Yes

Gerekli

[Optional] Any other comments you may wish to share:

If you are under 18 years of age, please provide the name and email of a parent or guardian.

By filling this form you consent in providing personal information. Any personal information you provide will be kept confidential, used only for non-commercial academic purposes and will not be shared with other parties. You can leave the group and request your data to be removed at any time. *

I agree

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