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Summer Virtual Nursing, Midwifery & ODP Careers Event
Please fill out and submit this form to register for our Virtual Careers Event - Wednesday 3rd July 2024, 10am
10
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1
This data will be collated by a third-party website. Please confirm you are happy for this to be collated.
(If you are unsure or answer NO, please speak to someone on our team. Your data will be used in line with the Data Protection Act 2018 and GDPR 2016)
Yes
No
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2
Name
*
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First Name
Last Name
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3
Email
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example@example.com
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4
Phone Number
Please enter a valid phone number
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5
Where did you here about this event?
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Please tell us where you heard about the event
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6
Do you have the right to work in the UK?
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YES
NO
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7
Are you a Student, Newly Qualified or Experienced Nurse/ODP/Midwife?
*
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Student Nurse
Newly Qualified Nurse
Experienced Nurse
Student ODP
Newly Qualified ODP
Experienced ODP
Student Midwife
Newly Qualified Midwife
Experienced Midwife
Internationally Educated Nurse/ODP
Student Nurse
Newly Qualified Nurse
Experienced Nurse
Student ODP
Newly Qualified ODP
Experienced ODP
Student Midwife
Newly Qualified Midwife
Experienced Midwife
Internationally Educated Nurse/ODP
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8
Which division/area are you wanting to find information about?
*
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ASCR (Anesthesia, Surgery, Critical Care and Renal)
NMSK (Neurosciences and Musculoskeletal)
Medicine
Women & Children's Nursing
Midwifery
Not sure
ASCR (Anesthesia, Surgery, Critical Care and Renal)
NMSK (Neurosciences and Musculoskeletal)
Medicine
Women & Children's Nursing
Midwifery
Not sure
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9
Would you be interested in booking an informal chat with one of our clinical leads on the day?
*
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Yes
No
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10
Would you like to be added to our mailing list?
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Yes
No
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