{"id":2561,"date":"2017-09-04T11:28:51","date_gmt":"2017-09-04T11:28:51","guid":{"rendered":"https:\/\/medphys.royalsurrey.nhs.uk\/omidb\/?page_id=2561"},"modified":"2018-01-22T14:17:46","modified_gmt":"2018-01-22T14:17:46","slug":"apply-for-access","status":"publish","type":"page","link":"https:\/\/medphys.royalsurrey.nhs.uk\/omidb\/apply-for-access\/","title":{"rendered":"Apply for access"},"content":{"rendered":"<p>Fill in the form below to be considered.<\/p>\n<p><em>Applicants must be affiliated to either healthcare institutions, academic centres, non-profit or commercial organisations.<\/em><\/p>\n<p><em>Applications from academic centres must be led by a principal investigator with a relevant research track record.<\/em><\/p>\n<div class=\"well normal\">\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2917-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"2917\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/omidb\/wp-json\/wp\/v2\/pages\/2561#wpcf7-f2917-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2917\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.4\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2917-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div id=\"responsive-form\" class=\"clearfix\">\n\t<div class=\"form-row\">\n\t\t<div class=\"column-half\">\n\t\t\t<p>First Name * <span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-half\">\n\t\t\t<p>Last Name * <span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-half\">\n\t\t\t<p>Email * <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-half\">\n\t\t\t<p>Phone <span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-half\">\n\t\t\t<p>Affiliation <span class=\"wpcf7-form-control-wrap\" data-name=\"affiliation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"affiliation\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-half\">\n\t\t\t<p>Position and Job title <span class=\"wpcf7-form-control-wrap\" data-name=\"position\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"position\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-half\">\n\t\t\t<p>Address Line 1 * <span class=\"wpcf7-form-control-wrap\" data-name=\"add1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"add1\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-half\">\n\t\t\t<p>Address Line 2 * <span class=\"wpcf7-form-control-wrap\" data-name=\"add2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"add2\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-half\">\n\t\t\t<p>Address Line 3 <span class=\"wpcf7-form-control-wrap\" data-name=\"add3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"add3\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-half\">\n\t\t\t<p>Postcode * <span class=\"wpcf7-form-control-wrap\" data-name=\"postcode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postcode\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=column-full\">\n\t\t\t<p>Additional Info <span class=\"wpcf7-form-control-wrap\" data-name=\"info\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"info\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-full\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><!--end responsive-form--><p style=\"display: none !important;\" class=\"akismet-fields-container\" 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Applicants must be affiliated to either healthcare institutions, academic centres, non-profit or commercial organisations. Applications from academic centres must be led by a principal investigator with a relevant research track record.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"saved_in_kubio":false,"footnotes":""},"class_list":["post-2561","page","type-page","status-publish","hentry"],"kubio_ai_page_context":{"short_desc":"","purpose":"general"},"_links":{"self":[{"href":"https:\/\/medphys.royalsurrey.nhs.uk\/omidb\/wp-json\/wp\/v2\/pages\/2561","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medphys.royalsurrey.nhs.uk\/omidb\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medphys.royalsurrey.nhs.uk\/omidb\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medphys.royalsurrey.nhs.uk\/omidb\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medphys.royalsurrey.nhs.uk\/omidb\/wp-json\/wp\/v2\/comments?post=2561"}],"version-history":[{"count":7,"href":"https:\/\/medphys.royalsurrey.nhs.uk\/omidb\/wp-json\/wp\/v2\/pages\/2561\/revisions"}],"predecessor-version":[{"id":3746,"href":"https:\/\/medphys.royalsurrey.nhs.uk\/omidb\/wp-json\/wp\/v2\/pages\/2561\/revisions\/3746"}],"wp:attachment":[{"href":"https:\/\/medphys.royalsurrey.nhs.uk\/omidb\/wp-json\/wp\/v2\/media?parent=2561"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}