Expression of interest First name(Required) Surname(Required) Email(Required) How did you learn about the Hearing Therapeutics Initiative? (select all that apply) Website Newsletter Advocacy group A colleague Social media Scientific conference Other Which other way did you learn about the Hearing Therapeutics Initiative? What do you do? Academia Biotech/SME Charity Clinic Investment/VC Medical devices Pharma Policy Research and Technology Organisation What's your job title? What organisation do you work for? What's your organisation's website? Which areas of activity are you involved in? (select all that apply) Age-related hearing loss Clinical practice Clinical research Cochlear implants Congenital sensorineural hearing loss Diagnostic Discovery research Drug-induced hearing loss Investment/VC Noise-induced hearing loss Policy Preclinical research Research funding Sudden hearing loss Therapeutic – otoprotection Therapeutic – regeneration Therapeutic – cell and gene therapy Therapeutic – tinnitus Therapeutic – central auditory disorders Other Which other areas of activity are you involved in? What are your reasons for joining the Network? (select all that apply) Access clinical trial delivery infrastructure Access licensing and partnership opportunities General support Link with clinicians Link with experts in cell and gene therapies Link with experts in clinical trial design and delivery Link with experts in early drug discovery Link with experts in hearing research Link with experts in preclinical research Link with specialist CROs and CMOs Market intelligence Patient insight Research collaboration Research funding Updates on hearing therapeutic development Please briefly describe your area(s) of expertise and capability and, if relevant, any specific topic you are looking to collaborate on How we protect your informationYour personal details are incredibly important and we promise to use them to get in touch with you in the ways you prefer. We’ll never sell or swap your data and while, with your permission, our team may call, email or text you from time-to-time to thank you and encourage you to keep supporting our work, we will always do so with care and consideration.If you’d like to change how we communicate with you, or would like us to remove your details from our records, please email us at [email protected] or call 0808 808 0123.For further details on how we look after your information, please read our privacy policy.Confirm your consent(Required) I consent to RNID collecting, using and storing my personal information as described in the privacy policy Please confirm you consent to RNID collecting, using and storing my personal information as described in our privacy policy. Stay in touch by email We would love to keep you up to date with the work we do, including Hearing Therapeutics Initiative activities and the latest developments in the field. Would you like to receive the quarterly HTI eNewsletter in future?Email newsletter(Required) Yes No Join the conversation Would you like to be contacted about joining special interest working groups and contributing to events focused on hearing therapeutic development?Special interest groups opt-in(Required) Yes No