Membership

It is free to register with WinS and, as a member, you will receive a number of benefits including:

If you would like to contact a WinS member, please contact us outlining your query.

WinS is interested in signing people up to help with the initiative. Fill out the online form below and indicate which areas you would be interested in getting involved in.

Personal Details

Title*

First name(s)*

Last name*

Email*

Telephone number

Mobile

Home address in UK*

Post code

Date of Birth*
(dd/mm/yyyy)

Professional details

Job grade

Specialty

GMC/IMC number
(if applicable)

WinS Activities

Provide advice on:

Career Specialty

Demonstrator Posts

Childcare

Jobshare

Pregnancy / Maternity Leave

Research Posts

Surgical Training

Other (please state)

Support WinS with:

Careers Fairs

Distributing Flyers

Organising Regional Events

Speaking to the Media

Project Planning

Providing Work Placements

Writing articles

Other (please state)

The information provided by you will be used to process your application and will be held in accordance with the Data Protection Act 1988. It will be available to all College departments and may be shared with any relevant Specialist Associations located within the building. Please notify us of any change to your details. We would like to keep you informed of other events and activities that may be of interest to you. Please tick this box if you do not wish to receive these mailings:

Equal Opportunities Monitoring

In line with UK legislation and good practice guidelines, we are asking everyone to complete this section. You are not obliged to provide any of the information in this section, but if you do so, it will enable us to monitor our business processes and ensure that we provide equality of opportunity to all.

Gender

Male

Female

Nationality

1st language

Do you have a disability under the terms of the Disability Discrimination Act 1995 (a person with a physical or mental impairment that affects your ability to carry out normal day to day activities which are substantial, adverse and long term?

Yes

What is your sexual orientation?

Bisexual

Heterosexual

Lesbian or Gay

What is your religion or belief?

Buddhist

Christian

Hindu

Jewish

Muslim

Sikh

Other religion/belief

Indicate a more specific category

Ethnicity

Choose one selection from the list below to indicate your cultural background.

a) White

British

Irish

Any other White background

b) Mixed

White and Black Caribbean

White and Black African

White and Asian

Any other mixed background

c) Asian or Asian British

Indian

Pakistani

Bangladeshi

Any other Asian background

d) Black or Black British

Caribbean

African

Any other Black background

e) Chinese or other ethnic group

Chinese

Any other background