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Information about the Lead Contact for the Impact:

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* 1. Name

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* 2. Email address

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* 3. Current position

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* 4. Institution

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* 5. Nature of HDR UK affiliation 
e.g. Site team member, Hub team member, Rutherford or UKRI Innovation fellow etc

Information about other HDR UK members involved in the Impact 
(if applicable):

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* 6. For each team member - name, institution/organisation, HDR UK affiliation, role in team

Information about the Output from which the Impact has resulted

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* 7. Output type
(e.g. clinical guideline, policy, algorithm, software, digital resource, journal paper etc)

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* 8. Output reference
(e.g. clinical guideline citation, policy citation, DOI, weblink, GitHub link, journal citation etc)

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* 9. Area of HDR UK work to which the Impact most closely aligns

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* 10. Technical abstract
(250 word limit)

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* 11. Lay summary
(250 word limit)

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* 12. Statement of why this output should win Impact of the Year
(250 words)

Info about the person submitting this form:

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* 13. Are you the applicant or a nominator?

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* 14. If you have not already entered your name, institution and email address earlier in this form, then please do so here?

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* 15. Would you like to be opted in to HDR UK's monthly newsletter and other mailings?

0 of 15 answered
 

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