NHS membership form

TRFT Library & Knowledge Service:
Membership form for NHS Staff & Contractors

Please complete all parts of this online form and read our terms and conditions before clicking on 'Submit' to register with us. The declaration at the end of the form explains why we gather this information, how we hold it and how we will use it, in accordance with permissions granted by you.

1. About you

* Indicates required field

Title (please select one) *

Name *

First

Last

Job Title *

Department/Ward/Practice *

Site (where you are based, e.g. 'Rotherham Hospital', 'Oak House') *

Work phone/mobile/bleep *

Your employer or your educational establishment (i.e. your NHS Trust or university) *

University Registration Number (if student member) *

Contract length (please select one from the list) *

If fixed term: when does your contract end? *

If you are a student: when does your placement end? *

Email address (NHS/work/university) *

If you haven't got your NHS email address yet please tick below; we'll add it to your record later *

I haven't got my NHS email address yet

2. Keep up to date: sign up for alerts

2.1 We send out email reminders for overdue items. We will use the email address given above unless you specify an alternative here: *

2.2 Please tick if you would like us to contact you using your chosen email address for any of the following: *

Email distribution list which we use to send out notices about new library services New books: we'll send you an alert when we add new books within your specialty or relevant to your department Subject-specific bulletins& information digests to keep you up to date on developments in your work areas.

3. Terms of use and declaration

Please tick the check boxes below to confirm your details, your agreement to abide by the conditions of use of the TRFT Library & Knowledge Service and to confirm you understand how we use your data. Then please click on the 'Submit' button to register.

The information I have submitted is to the best of my knowledge accurate at the time of completion. I agree to inform the Library & Knowledge Service of any change of address or employment circumstances. I agree to abide by the conditions of use of the TRFT Library & Knowledge Service. *

I agree

For non-TRFT staff this membership is valid for three years. Unless you cancel it earlier we will automatically check whether you want to continue your membership in three years time. This is to comply with data protection legislation. For further information see our Privacy Statement https://www.trftlibraryknowledge.com/privacy-policy.html Your information is processed and held in accordance with data protection legislation. It will not be used for any purpose other than the administration of TRFT Library & Knowledge Service. Personal email addresses provided by you will only be used for the purposes outlined above. *

I accept the terms and conditions

How we use your data *

I understand that the data I submit through this form will be held by the Library & Knowledge Service and by our web host Weebly in accordance with their respective privacy policies (https://www.trftlibraryknowledge.com/privacy-policy.html). Our Weebly service is hosted in the USA. Data submitted through our website is processed by Weebly, Inc. Whilst every care is taken by us to protect your data in the UK, the USA has its own Privacy Laws (Privacy Shield) and although some states are adopting GDPR regulations, this is not a statutory requirement. If you prefer not to submit your data in this way please contact the Library by phone or email; all our services can be accessed in this way.

Submit

TRFT Library & Knowledge Service: Membership form for NHS Staff & Contractors

1. About you

2. Keep up to date: sign up for alerts

3. Terms of use and declaration

TRFT Library & Knowledge Service:
Membership form for NHS Staff & Contractors