Application for Membership on Committees, Taskforces and other WABIP Groups


ARTICLES:
  1. Personal Information
  2. Apply
  3. Committee Policy
  4. Conflict of Interest Policy, Rules and Disclosure
  5. Agreement

I. Personal Information

Please type your full name.
Invalid email address (make sure there are NO spaces)
Please type your institution.

II. Apply


Find the committee tasks & descriptions here

Insert check:
Invalid Input
Please include your personal statement.

III. Committee Policy


  • A single term is defined as duration of time in between two (2) consecutive WCBIP closing ceremonies. Therefore a term is approximately 2 years.
  • Every committee member shall serve a maximum of two terms (approx. 4 years), except for committee chairs & past-chairs who shall serve more terms on committee in their leadership positions.
  • Every committee chair must complete one (1) full term as chair.
  • Immediately after term as Chair, he or she shall serve an additional term as past-chair of the committee to ensure continuity and to provide guidance to the new chair and members.
  • After past-chair term ends, tenure in the committee shall end regardless of number of terms served as a general committee member or otherwise.
  • Service on a committee, special section or taskforce presumes the person will do their very best to attend the WCBIP World Congress.
  • It is the responsibility of the committee chair to contact by teleconferencing and email all members of his/her committee in order to get to know all committee members.

IV. Conflict of Interest Policy, Rules and Disclosure


Disclosure

Your disclosures below. The WABIP COI oversight committee will evaluate your answers as it pertains to our Conflict of Interest Policy and Rules.

Must choose one.
Please type details.
Must choose one.
Please type details.
Must choose one.
Please type details.
Must choose one.
Please type details.
Must choose one.
Please type details.
Invalid Input
Please type details.
Must choose one.
Please type details.
Invalid Input
WABIP CASE EXAMPLES

  1. Honoraria paid directly to an individual from third party CME providers do not need to be disclosed.
  2. Honoraria paid directly to an individual from a company sponsoring or endorsing a CME event must be disclosed.
  3. Honoraria paid by a company sponsoring research or education, and paid directly to the individual’s academic institution or department must be disclosed if the funds relate to the individual’s WABIP activity.
  4. Honoraria and consulting fees paid by investment firms should be disclosed because these may have an impact on stock prices of pharmaceutical or manufacture companies.

V. Agreement

By providing my signature below, I hereby confirm and declare the following:

  • I shall fully comply with the Conflict of Interest Policy and Rules (Article IV).
  • All information that I have submitted and disclosed to the WABIP in this Application is, to the best of my knowledge, true, accurate, and complete.
  • I have read and understood the entirety of this Application (Articles I – V).
Please type your signature.
Invalid Input