BUCS Medical - Registration Form
Please complete the following questions if you wish to register for the BUCS Medical list.
* Required
Surname
*
Your answer
First name
*
Your answer
Email address
*
Your answer
Mobile number
*
Your answer
Region you live in
*
Choose
North West
North East
Yorkshire
West Midlands
East Midlands
East of England
London
South West
South East
Scotland
Wales
Northern Ireland
GMC Number
*
Your answer
Year qualified
*
Your answer
Current Grade
*
Choose
FY1
FY2
C/ST1
C/ST2
ST3
ST4
ST5
ST6+
Consultant
GP
Trust / Staff Grade
Medical Student
Speciality
*
Sports & Exercise Medicine
Emergency Medicine
General Practice
Orthopaedics
General Medicine
Foundation Program
Other:
Required
In what clinical setting(s) do you currently work?
*
Tick all that apply
NHS
BUPA / Private Clinic
Institute of Sport (EIS/SIS/WIS)
NGB Sport
Sports club / team (regular)
Student
Other:
Required
Have you previously worked for BUCS?
*
Choose
Yes
No
Do you have a car?
*
Choose
Yes
No
Do you consent to your info being shared with the BUCS medical & management teams?
*
Choose
Yes
No
Submit
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