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Details supplied in this survey will be used in respect of your Surrey ALC membership only

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* 1. Contact Information

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* 2. District / Borough of the Council

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* 3. Contact email for all correspondence including newsletter and circulations (if different from above)

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* 4. Chairmans name

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* 5. Chairmans contact email

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* 6. Number of Councillor seats (including vacancies)

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* 7. Would you (the Clerk) like to be added to our locum list?
(You will be contacted should any vacancies become available that meet your criteria below)

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* 8. If you answered yes to Q9:
how many miles are you willing to travel?

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* 9. If you answered yes to Q9:
how many hours per week are you available?

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* 10. If you answered yes to Q9:
please indicate any evenings that you are not available

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* 11. Please provide your preferred contact details for locum queries

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* 12. Surrey ALC ltd. (SALC ltd.) data collection, storage and use terms:

1) SALC Ltd. will store the information you have provided within this survey on secure cloud-based contact database.
2) SALC Ltd. is responsible for maintaining and securing its database. As the subscribing member, you are responsible for providing SALC Ltd. with up-to-date contact information. It also remains your right to withdraw/change any details provided at any time.
3) SALC Ltd. will use this database to correspond with the Council primarily using the email address provided.
4) The contact information you have provided will not be sold to any third party organisations.


Please tick the box below to confirm that you understand the terms and condition of SALC Ltd. storing and using your data.

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