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Your Information
Organisation:
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*First Name:
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General Member
I would like to be kept informed about LINK in Salford developments through regular electronic bulletings and updates.
I am happy to take part in the annual LINK in Salford event, public meetings, events and surveys etc.
I am happy to receive information about public meetings, events and surveys organised by the LINk in Salford networks of networks.
Task Groups
I am interested in becoming an active member getting involved in the task groups working on the priorities identified by local people for the LINk work plan.
Governance steering group
I am interested being co-opted or randomly selected onto the LINk in Salford Steering group within the Governance framework and will adhere to all the rules and regulations of the LINk in Salford.
Areas of Interest

Which areas of Health and Wellbeing are you particularly interested in
Health/NHS:
Mental Health:
Community Health:
Hospital:
Ambulance and Patient Transport:
Other please state:
Social Care
Carer support:
Adults learning difficulties/disabilities:
Sensory impairment:
Older people:
Other please state:
Specific groups of people in a health and social care field
Children 0-16:
Young people 16-25:
Adults 26 -65:
Adults 65+:
Other please state:
Any other areas of Health and Wellbeing you would like to get involved in. Please state
Contact
How would you be preferred to be contacted?
Email:
Telephone:
Text:
Post:
Other please state:

Data Protection Act 1998
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I DO NOT permit LINk in Salford to publicise my contact details:
*I confirm that the information given is a true representation of my individual and where relevant organisational details:

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