EmailMe Form - Star Wards Individual Membership Form

Star Wards Individual Membership Form

We look forward to welcoming you as a member of the Star Wards’ community!

Please complete this form to register as a Star Wards member. We’ll only use the information you provide in this form to get in touch with you personally about your interest in Star Wards and to keep a secure record of Star Wards members. You will NOT be automatically opted-in to any marketing mailing lists and we will NOT share your information with anyone outside of Bright (Voluntary Sector Communications) the charity behind this website.

We use EmailMeForm as our online forms platform. By clicking below to submit this form, you acknowledge that the information you provide will be transferred to EmailMeForm for processing in accordance with their Privacy Policy: https://www.emailmeform.com/v-privacy.html. Our privacy policy can be found here: https://www.starwards.org.uk/privacy-policy/

Your contact information *

Name

Email

Phone number

Organisation / place of study / other setting (If relevant)
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Are you *
A healthcare professional
An independent practitioner
A lecturer
A student
A service user of mental health services
A carer, friend or family member of a service user
Other (please state)
Area of interest / work / specialism *
Why would you like to become a Star Wards member? *
I'm interested in the work you do
My area of work is related to mental health care
My area of study is related to mental health care
Other (please state)
Would you like to help Star Wards with a donation?
Yes
No
Maybe
Would you like to tell us anything else?
Please join our mailing list!
Please subscribe me
Email address to subscribe
Checkbox *
I consent to having Bright (Voluntary Sector Communications) collect the data I have provided in this form.

Name
Email
Phone number
Organisation / place of study / other setting (If relevant)