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TRFT Library & Knowledge Service:
Membership form for non NHS staff
Not employed or contracted by the NHS in Rotherham? 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
c
ontact 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)
*
Dr
Mr
Mrs
Ms
Miss
Other
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 send out email reminders for overdue items. Please specify which email address you would like us to use for this:
*
2.2 Please indicate if you would like us to contact you using this email address for any of the following
Email distribution list which we use to send out notices about new library services: please select
*
Yes
No
New books: we'll send you an alert when we add new books/resources relevant to your areas of interest: please select:
*
Yes
No
Bulletins & information digests to keep you up-to-date on developments in your areas of interest: please select:
*
Yes
No
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.
Membership:
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. For further information see our Privacy Statement https://www.trftlibraryknowledge.com/privacy-policy.html. 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 the information I have submitted is correct, I will inform the Library of any change in circumstances and agree to abide by the conditions of use of the TRFT Library & Knowledge Service: please select:
*
Yes
No
Option 3
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.
I understand how my data used: please select:
*
Yes
No
Option 3
Submit
