Membership application to join the BactiVac Network

To join the Network, simply complete this online application form.  In order to process your application, we need to capture some key information about you. The BactiVac Network requires you to demonstrate relevant links to bacterial vaccines, in order to assess your application’s relevance to our Network. If your application is accepted for membership, a profile page will be created for you on our Members’ Directory and some of this information will be published there to facilitate collaboration between our Network members. It is therefore very important that the text that you provide is written in such a way to clearly demonstrate your research interest in the area of bacterial vaccinology.

If you would prefer to complete your application in a Word document format, you can download the form.
Completed forms should be e-mailed to bactivac@contacts.bham.ac.uk.

  • Part 1: Personal Details
  • Name
  • Part 2: Personal/Sensitive Data
    Collecting Equality, Diversity, and Inclusion (EDI) data is essential for fostering an inclusive environment and understanding the diversity of our membership.
  • Part 3: Comms and Picture
  • LinkedIn
    Please follow us on LinkedIn
  • Part 4: Research Interests
  • Part 5: Keywords
    Please tick one or more that are relevant to you. These keywords will be used to create a directory of members’ interests and thus facilitate future collaborations between our members.
  • 1. Vaccinology
  • 2. Immunology
  • 3. Other
  • Part 6: Biography
  • Part 7: Confirmation
    By ‘clicking submit' you agree that your application is accurate and complete to the best of your knowledge, and that you consent to the BactiVac Terms and Conditions of Membership including collection, storage and use of your personal data and will always act in accordance with such Terms and Conditions.
  • Tick below for confirmation