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Membership Application Form 2020

*** PLEASE NOTE!! IF YOU ARE A MEMBER OF STAFF AT CHFT YOU CANNOT BECOME A PUBLIC MEMBER AS YOU ARE A MEMBER OF THE STAFF CONSTITUENCY ***

We try to ensure that our membership community is as representative as our whole community as possible. We welcome applications from anyone aged 16 years or over irrespective of their race, religious belief, ethnicity, sexual orientation, sex, disability or marital status.

The data you supply will only be used to contact you in relation to your membership of Calderdale and Huddersfield NHS Foundation Trust. It will be stored and processed in accordance with the Data Protection Act and will not be shared elsewhere. Click here to read the Trust's privacy notice.

CHFT - 429 - Membership Application Form

Your details
*Staff cannot become a public member