Cochrane Breast Cancer Group
Contact details form

Thank you for contacting the Cochrane Breast Cancer Group. Please complete this form to indicate your interest in participating in the Group. Email the completed form to: Melina Willson, Managing Editor, at .

Contact details

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Date completed:

Prefix (e.g. Ms, Dr): / Given name (名字 míngzi):
Middle initial(s): / Family name (姓 xìng):
Suffix (e.g. MD, PhD): / Web address:
Do you already have a user account and password for the Archie database? / Yes No
Email address(es): / 1)
2)
Job Title/Position:
Department:
Organisation:
Street/Address:
City: / Post/Zip code:
State/Province: / Country:
Telephone number:
(including country code) / Fax number:
(including country code)
Mobile/cell number:
Privacy: / Your details may be stored on our central database, known as ‘Archie’, and may be accessed by members of The Cochrane Collaboration. Details of our privacy policy are available at www.cc-ims.net/Archie/archie-privacy-policy. Within Archie, would you like to:
Hide your address and phone numbers: Hide your email address:
Country of origin: / Gender: / Female Male
Preferred contact: / Do you have ready access to email/internet? / Yes No
If no, how you would like us to contact you? ………………………………………………………..

Member information

What is your background?
Consumer Clinician
Methodologist/statistician Other, please specify:
Do you have access to The Cochrane Library?
Yes No
Are you already a member of any other Cochrane groups?
Yes No
Please list the group(s) and your role (e.g. author of a review, editor, etc.):

Please indicate what type of information you are happy to receive from us

Send me the newsletters only
Send newsletters and notifications of other meetings/workshops that may be relevant to Cochrane activities
Send me information on Cochrane reviewer-specific workshops
Do not include me on your mailing list
Please send me information about the Cochrane Collaboration annual international conference
Other, please specify:

How would you like to be involved?

(tick one or more boxes)
Author of a systematic review
Providing peer review
Offering consumer input/perspective
Providing statistical/methodological advice
Supporting local Cochrane activities
Translating articles / Please state language(s):
Handsearching journals/conference proceedings
Providing details of previous/ongoing trials
Information only
Other / Please specify:

Are there any consumer or professional organisations relevant to your areas of interest?

Please list the organisation(s) and give contact details such as email and website:

Description of roles:

Authors are responsible for planning and writing systematic reviews, working in teams.
Peer review is an important part of our quality control process. Peer reviewers comment on draft protocols or full review during the editorial process.
A consumer may be someone that has breast cancer, is a relative or carer, or who advocates on behalf of other consumers. Consumers may help establish priorities for reviews, write reviews, consult on reviews in progress, or assist with peer review.
Statisticians and other experts in systematic review methods advise Review Groups and authors throughout the review process.
Supporting local Cochrane activities may include acting as a local contact point, disseminating information, hosting local training events, or identifying funding opportunities.
Translators assist authors by reading, assessing or translating articles published in languages other than English.
Handsearchers search through selected journals or conference proceedings for reports of relevant trials. These trials are then added to our trials register, and can be included in future reviews.
Researchers are invited to provide details of ongoing or completed trials that have not been published. These trials are then added to our trials register, and can be included in future reviews.
You may wish to receive information only updates from this group, such as newsletters or email bulletins.

V1.1 20/07/12