Society for Endocrinology - a world-leading authority on hormones
Grants and Awards
Endocrine Ambassadors Application Form
Endocrine Ambassador application form
Name of Applicant
Name of Institution
Name of Department
If a student, what are you studying and what year are you in
If not a student, what’s your position held
Year of PhD completion (if applicable)
Are you a current member of the Society for Endocrinology?
What is your membership number?
Why would you like to become an Endocrine Ambassador? (max 250 words):
How would you achieve the three Ambassador aims: 1. Raise awareness of the Society 2. Host an event 3. Help reach new members (max 500 words):
Upload your current CV here
Privacy details: In order to evaluate your application, the data that you submit via this form will be shared with relevant Society members and staff working for the Society for Endocrinology. We will store your data securely and only authorised personnel will be able to access it. If your application is unsuccessful we will delete your application data from our systems one year from receiving your application. If your application is successful, we will hold your application data for 7 years in order to administer your Ambassador status and subsequent impact reporting.
Yes, I consent to the storage and processing of my data