New Member Registration

HSC EMPLOYEES REGISTRATION FORM

HSC membership is open to HSC staff. Membership is pending while your registration is processed.

Surname:*
Forename(s):*
Title:
Position Held:*
Job Category:*
HSC Trust:*
Expiry Date (if temporary contract):
*Work Address:*
Dept/Ward:*
Line 1:*
Line 2:
Line 3:
Line 4:
Postcode:
Work Email:*
Telephone:
Extension:
*Home Address :*
Line 1:*
Line 2:
Line 3:
Line 4:
Line 5:
Postcode:
Home Email:*
Telephone:*
Extension:
I agree to abide by the Queen’s Computer Resources – Acceptable Use Policy in any use I make of Queen’s computer resources.
I agree to abide by the Library Regulations as provided on the Queen’s Library Policies and Regulations page.
I understand that Queen’s University as the data controller for the Healthcare Library of Northern Ireland will only use information contained in this form for the purposes listed in the following privacy notice and will be processed in line with the University's obligations under the Data Protection Act 2018. I confirm that the information provided in this form is complete and accurate. Further information on Library and University compliance with data protection requirements can be found in the Library Data Protection Policy