H MSHAA

Apr 02
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Free

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Title:* Title is Required

First Name:* First Name is Required

Surname:* Surname is Required

Address:* Address is Required

Address2:* Address2 is Required

Town:* Town is Required

County: County is not valid

Country: Country is not valid

Postcode:* Postcode is Required

Date of Birth:* Date of Birth is Required

Personal email address (your username):* Personal email address (your username) is Required

HCPC Registration Number (Enter '0' if not applicable):* HCPC Registration Number (Enter '0' if not applicable) is Required

Telephone:* Telephone is Required

Mobile: Mobile is not valid

University:* University is Required

Course:* Course is Required

University Address:* University Address is Required

Course completion date:* Course completion date is Required

Employer or Company name: Employer or Company name is not valid

Sponsor Full Name (you are directly supervised by this person):* Sponsor Full Name (you are directly supervised by this person) is Required

Sponsor Membership Number: Sponsor Membership Number is not valid

I wish to apply for membership of BSHAA and request that my application be submitted to the Council of the Society for consideration. If accepted, I agree to abide by the provisions of the Articles of Association of the Society and its Code of Practice as amended from time to time.*

I agree that BSHAA can send me occasional emails and letters to keep me in touch with what the Society is doing - this may include adverts from carefully chosen partners / stakeholders (in accordance with UK GDPR regulations)*

I agree that my sponsor can be contacted by BSHAA to verify my membership*

If you require our medical malpractice cover, you would have to be in continuous employment with, or working under an HCPC registered full BSHAA member. Please enter the name and post code of your employer here. Or please enter X to indicate that you are not covered. Also, below, please create a username and password:* If you require our medical malpractice cover, you would have to be in continuous employment with, or working under an HCPC registered full BSHAA member. Please enter the name and post code of your employer here. Or please enter X to indicate that you are not covered. Also, below, please create a username and password is Required

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