ÐÏà¡±á>þÿ :<þÿÿÿ9ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Á @ ð¿³bjbj{Î{Î .&¤¤³ ÿÿÿÿÿÿˆjjjjjjj~&&&&B$~¬ˆrˆˆˆˆc c c +------$4R†’Qjfc c ffQjjˆˆÛf–––f:jˆjˆ+–f+––sjj¿ˆfH Ï2Ê& Ž‹|0¬“,.¿~~jjjjj¿Xc Z½ @–ý 415c c c QQ~~Ä BäDR~~BThe Scottish Institute of Human Relations - understanding people - Application Form to join the SIHR Network The detail in the form is NOT intended as a filter or means of excluding individuals. On the contrary, it is sought so that SIHR can get to know the multiple talents and interests of those who belong, and thus engage with them more fully. Items in the forms which applicants feel are irrelevant to their particular experience, or which they want to keep private can be left blank. [NB: there are no numbers 9, 10 or 12, 13, 14 as these questions correspond to information asked in applications for full membership] 1N. Name: 2N. Home Address: 3N. Home Telephone Number: 4N. Email: (if given it will be used for contact and information) 5N. Current Work address: 6N. Work Telephone Number: 7N. Title of Present Post: 8N. Are you registered with any professional bodies? 11N. Please outline your present / past involvement with SIHR: 15N. What are your particular areas of interest? (please add here 'outside' interests such as art and music) 16N. Could you please list any relevant publications; books, papers or articles: SIHR Network application form, page 2 17N. Individuals in the Network often have areas of interest which they would like to develop further. How might we help you? What would you like to gain from belonging? 18N. Individuals in the Network come with various areas/levels of expertise which they feel they might use to contribute to the work of SIHR. Please include, for our record, any useful experience you may have, not only in terms of our internal clinical and training functions but also other skills /interests you would consider using to SIHR’s benefit, eg. accounting, fund raising, marketing, computing, library work, conference and function administration, law, research, audit, ethics, liaison with other institutions etc: 19N. Do you have links with other organisations which might be usefully used for mutual benefit. eg in advertising our work, providing services, or coordinating joint work? 20N. Any further comments or requests: 21N. It would be useful to know your reasons for applying to join the SIHR Network: a. I do not feel I have yet developed enough understanding of the psychoanalytic/psychodynamic approach to apply for membership of the SIHR but would like to learn more about this approach.......Y/N b. I am not involved in psychoanalytic/psychodynamic work but support the aims of SIHR and would like to contribute.........Y/N c. Other........ This information will be put into a database for organisational use by staff and members; can we remind you to update it from time to time! Thank you. Declaration: I have read the SIHR Articles of Association, agree with its aims and agree to abide by its Code of Ethics. I agree to this information being available within the organisation on a database and at some later date on a protected website (access by password only). Signed..........................................................Date............................................... Please return to Membership Committee Secretary, SIHR, 172 Leith Walk, Edinburgh EH6 5EA or e-mail to infor@sihr.org.uk The Scottish Institute of Human Relations Ltd is registered in Scotland as a company limited by guarantee. No 56781. Registered charity no SC013051 Registered office: 172 Leith Walk, Edinburgh EH6 5EA. 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