Join the Future LD Nurse Network

About you

Thank you for taking the time to join the Future LD Network.

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* 1. What is your first name?

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* 2. What is your surname?

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* 3. Which region are you based in?

East of England

London

Midlands

North East and Yorkshire

North West

South East

South West

Other (please specify)

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* 4. Which HEI/University are you at?

Anglia Ruskin University

Birmingham City University

Bournemouth University

City, University of London

De Montfort University

Edge Hill University

Keele University

Kingston University

London South Bank University

Northumbria University

Open University

Oxford Brookes University

Sheffield Hallam University

University of Bedfordshire

University of Birmingham

University of Bolton

University of Bradford

University of Chester

University of Coventry

University of Cumbria

University of East Anglia

University of Essex

University of Gloucestershire

University of Greenwich

University of Hertfordshire

University of Huddersfield

University of Hull

University of Leeds

University of Lincoln

University of Liverpool

University of Manchester

University of Northampton

University of Nottingham

University of Plymouth

University of Portsmouth

University of Salford, Manchester

University of Sheffield

University of Sunderland

University of Surrey

University of the West of England

University of West London

University of Winchester

University of Wolverhampton

University of York

Qualified / Other (please specify)

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* 5. What is the best e-mail address to contact you on?

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* 6. If you use twitter, what is your handle?

I do not use twitter

My twitter handle is

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* 7. Being able to access the NHS Futures Nurse Ambassador Platform is a key element of Future LD Nurses, are you registered? If not follow the link at the end of this application to join.

Yes

Don't know

Join the Future LD Nurse Network

About you

Question Title

* 1. What is your first name?

Question Title

* 2. What is your surname?

Question Title

* 3. Which region are you based in?

Question Title

* 4. Which HEI/University are you at?

Question Title

* 5. What is the best e-mail address to contact you on?

Question Title

* 6. If you use twitter, what is your handle?

Question Title

* 7. Being able to access the NHS Futures Nurse Ambassador Platform is a key element of Future LD Nurses, are you registered? If not follow the link at the end of this application to join.

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* 8. Is there anything else you would like to tell us?