Your details

What title do you wish to go by? ^*

Dr Ms Miss Mrs Mx Mr Other (please state below)

Title (if other chosen above)

Please enter your last name ^*

Please enter your first name, followed by any middle names ^*

What email address would you like us to use? ^*

What is your job title? ^*

What site are you based at? ^*

Kent and Canterbury Hospital, Canterbury

Queen Elizabeth the Queen Mother Hospital, Margate

William Harvey Hospital, Ashford

Buckland Hopsital , Dover

Royal Victoria Hospital, Folkestone

Other (please state below)

If you are not based within East Kent Hospitals, please select 'Other' and state your full work postal address.

Site (if other selected above)

Do you require 24-hour access to our libraries to study during evenings and weekends?

Please indicate which sites you require 24-hour access to. A keyfob will be enabled for you which will need to be collected by you from your site library. **Please note** that if you only require access to the library at William Harvey Hospital, you will need to bring your staff SmartCard in to be programmed.

Library at Kent and Canterbury Hospital

Library at Queen Elizabeth the Queen Mother Hospital

Library at William Harvey Hospital

All three libraries

I don't require 24 hour access

What is your department?

What is your leaving date?

You only need to answer this question if you will be leaving your position before two years have elapsed, for example, a student placement or temporary contract.

What is your home address? ^*

If you are on placement, please use your permanent home address, not your placement address. Please ensure that you include your postcode.

What is the best phone number to contact you on? ^*

We offer free text message alerts when your books are due or overdue. If you'd like this service enabled, please enter your mobile number:

Would you like to receive article and research alerts based on your professional interests?

Yes No

If Yes, then a member of the library team will be in touch with you to set up your areas of interest, and how often you want to receive alerts.

Would you like to receive our monthly email newsletter?

Yes No

Declaration

Finally, to complete your registration, please read this declaration. If you agree to the terms, check the box to become a library member:

I agree to be responsible for all books borrowed by me, or taken out in my name, and I undertake to pay the cost of repair or replacement in respect of any damage or loss.

I understand that I am responsible for notifying Library & Knowledge Services of any change of department or address and consent to receiving notices sent to the correspondence address or contact details I have provided on this form.

I consent to Library & Knowledge Services at East Kent Hospitals University Foundation Trust, Health Education England, and associated third parties, processing my personal data for the purposes of administering my membership and providing services on behalf of Library & Knowledge Services.

I recognise that this data will be retained for two years while I am a registered member of Library & Knowledge Services. I may ask for my data to be deleted at any time, but it may be held for up to 1 year after my membership has expired, after which time it will be deleted.

If at any time I wish to withdraw such consent or have any queries relating to the use of my personal data I may contact my site Education Library.

You can read the full Health Education England privacy notice here

Yes, I agree to the terms, please complete my registration

Library Registration Form