WoSTRAQ Membership


Please give the email address you check the most, can be your nhs.net address
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Email *
** Please check it's you logged into google, ie, careful with computers at work! **
needed to verify who you are (need to use lower case)
First Name *
Surname *
Hospital - August 2018 *
(expected date of the next project)
Current grade *
Expected CCT
If you're an anaesthesia trainee. Doesn't have to be accurate, just to give an idea. Optional.
MM
/
DD
/
YYYY
Do you consent to your email address being added to a Trainee Network mailing list for other communication, such as teaching, courses etc? *
A copy of your responses will be emailed to the address you provided.
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