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') *

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

Work phone/mobile/bleep *

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? *

NHS email address/es *

Other home or work email address *

Home address *

OR: Permanent home address if on placement *

2. Keep up to date: sign up for alerts

2.1 We'll send you an email if an item goes overdue. Please type here the email address you would like us to use for this *

2.2 We send out emails with details of our latest library news and services. To receive these emails please tick 'yes' below. *

Yes, I'd like to join the mailing list using email address given in 2.1 Yes, I'd like to join the mailing list: please use email address given below

Alternative email for mailing list *

2.3 New Book Alerts: We can send you an email when we add a new book on a subject of interest to you (we'll base this on your job title and department in the first instance). To receive these emails tick 'yes' below: *

Yes, I'd like to sign up for new book alerts using the email address given in 2.1 Yes, I'd like to sign up for new book alerts: please use the email address below

Alternative email for new book alerts: *

2.4 Knowledge Alerts: We can set up email alerts for you on subjects of your choice so you can be sure you're always up-to-date. This service is tailored to meet your needs and captures the latest research and guidance in your field and delivers them to your inbox. Please tick 'yes' to register for this service and we'll be in touch to discuss your requirements *

Yes

2.5 Bulletins: We produce subject-specific bulletins and information digests to keep you up-to-date on developments in your work areas. Please tick 'yes' to register for this service and we'll be in touch to discuss your requirements *

Yes

2.6 Twitter: If you would like us to contact you by Twitter please enter your Twitter handle here (you can follow us at @RotherhamNHSLib) *

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 have read and agree to abide by the conditions of use of the TRFT Library & Knowledge Service. *

I agree

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