Gloucestershire Hospitals NHS Foundation Trust

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Join our Foundation Trust

Page updated: 21/06/2012

All NHS staff in Gloucestershire are entitled to join the Library.
Please complete this form after reading the terms and conditions, then submit.

Details marked * must be filled in or we cannot process your request

Surname*

Forename(s)*

Title

Job Title

Work phone number / bleep

Ward or Department*

On which site are you based?*GRHCGHOther

For other, please state

Professional Group

For other, please state

Email address*

Home Address*

Home telephone number

Mobile telephone number

Contract end date (if applies)

Employing Organisation*

For other, please state

How did you find out about us?

SWIMS Library card number

Terms and Conditions*I have read the library rights and responsibilities and agree to comply with them