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MFT Trust Library Services - Registration Form
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* Indicates required question
Title
Your answer
First name
*
Your answer
Last name
*
Your answer
Job Title/Status
*
Your answer
Address line 1
*
House number and street
Your answer
Address line 2
Flat, unit, building, floor, etc
Your answer
Town/City
*
Your answer
County
Your answer
Postcode
*
Your answer
Mobile telephone number
*
Your answer
Work / student placement email address
*
Your answer
Alternative email address
Your answer
Are you employed by MFT?
*
If not, please select 'other' and enter your employer's name or the name of your educational institution if a student.
Yes
Other:
Hospital base site
*
If you are not based at one of these 4 sites, then please choose the library you would prefer for book collection
Oxford Road
Wythenshawe
North Manchester
Trafford
Do you have a permanent contract (staff only)
*
No - please answer question below
Yes
If you are not permanent, what is your expected leave date / end of your placement date if a student?
MM
/
DD
/
YYYY
If your expected leave date is less than 3 months, please give a brief description below
Your answer
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