Non NHS membership form

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

Not employed or contracted by the NHS? Teachers, school and college students, youth workers and other groups with an interest in health promotion who live, work or study locally are welcome to use our health education resources and to contact us at Oak House for information about heath promotion and public health. Please complete the membership form below.

Please note: non NHS members of the Library & knowledge Service can only borrow items from our Health Promotion Collection: other services/collections are not available. Please contact us to check eligibility or if you have any queries about membership.

Please complete all parts of this 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

Your job title/voluntary role/educational status (e.g. 'Youth Worker'; 'Support Worker'; 'College Student') *

Employer or place of education (if applicable) *

Name and address of your place of work or study (if applicable) *

Work/study phone number (if applicable) *

Work/study email address (if applicable) *

If you have a fixed term contract, you are on placement, or in education when does your contract, placement or course end? *

Home address *

Home phone number *

Personal email address *

2. Keep up to date: sign up for alerts

2.1 We'll send you an email if resources go 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 Resource Alerts: We can send you an email when we add a new health promotion resource to the collection. 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 resource alerts: *

2.2 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 box below to confirm your details and your agreement to abide by the conditions of use of the TRFT Library & Knowledge Service. Then please click on the 'Submit' button to register.

Please note: This membership is valid for two years. Unless you cancel it earlier we will automatically check whether you want to continue your membership in two years time. This is to comply with data protection legislation.

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 non NHS Staff

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 non NHS Staff