ACURET Membership Application FORM

PERSONAL INFORMATION

Gender*

Telephone (at least one of the three)
Email address (we'll never share your email with anyone else).

ABOUT YOUR INTEREST IN LABORATORY ANIMAL WELFARE


Education: For each degree obtained, please provide:




SUPPORTING DOCUMENTS

(a) *Please provide full names, email address and telephone of two (2) referees

  • i. A current member of ACURET
  • ii. Someone who knows about your work with animals
  • iii. If you are a student, HOD/Faculty Advisor/Supervisor should be the second referee.

(b) *Please attach the following supporting documents (pdf)


Current and updated Curriculum Vitae (required)

Animal welfare training certificates (not required)


Representative publications 1 (not required)

Representative publications 2 (not required)

DECLARATION AND SUBMISSION

*Your Application Declaration

I



(the applicant) declare that the information that I have provided in this application is truthful and correct to the best of my knowledge. I are not aware of any circumstances which I have not disclosed which might influence your decision. I understand that inaccurate, misleading or untrue statements or knowingly withheld information may result in termination of my membership with this organization.


How ACURET.ORG will use your personal data

ACURET.ORG is required to adhere to and comply with the requirements outlined in the General Data Protection Regulation regarding the personal data we hold, process and store. The individual completing and submitting this application form hereby warrants that all of the above information is true and correct in every aspect.

The individual completing and submitting this application form hereby authorizes ACURET.ORG to gather and use, from time to time, any and all information relating to the individual that is the subject of this application that can be obtained from any source whatsoever including, but not limited to, Institutions, trade associates and Organizations.

The undersigned also hereby authorizes ACURET.ORG to utilize credit reference agencies in order to detect and prevent fraud and money laundering which may involve conducting personal credit searches and electronically validating name and address details.

T/C, I agree to submitting this online application form and I am responsible for the completion of the information in it and specifically with regard to all personal data that I have supplied to ACURET.ORG herein.