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Please complete the form below to register for a user account with the Greater Manchester Access website.

"*" indicates required fields

Name*

First Last

Username*

Please enter a username e.g. your first and last name with no spaces.

Password*

Please enter a password.

Email*

Telephone

Job title

Locality

Professional registration

Select Yes if you are registered with a professional body such as the Allied Health Professions Federation or Nursing and Midwifery Council.

Please select Yes if you are registered with a professional body.

Yes

No

Registration number

Please enter your professional registration number.

Are you currently employed?*

Please select Yes if you are currently employed

Yes

No

Your current occupation

Organisation

Organisation type

Please select the type of organisation that you work for.

Organisation website

Which sector does your organisation operate in?

Please select the sector that your organisation operates in.

Primary care

Secondary care

Social care

Voluntary

Other

Where does your organisation operate?

Please select the locations that your organisation operates in.

Bolton

Bury

Heywood, Middleton and Rochdale

Manchester

Oldham

Salford

Stockport

Tameside and Glossop

Trafford

Wigan

Organisation address

Please enter your organisation address into the fields below

Address line 1 Address line 2 Address line 3 Postcode

Are you looking for work?

Please select Yes if you are looking for work.

Yes

No

Where do you want to work?

Please select the locations where you want to work.

Bolton

Bury

Heywood, Middleton and Rochdale

Manchester

Oldham

Salford

Stockport

Tameside and Glossop

Trafford

Wigan

Which sector do you want to work in?

Please select the sector that you want to work in

Primary care

Secondary care

Social care

Voluntary

Other

Which primary care role are you looking for?

Which secondary care role are you looking for?

Which social care role are you looking for?

Which voluntary sector role are you looking for?

Personal data consent (GDPR)*

Please select ‘Yes’ to consent to the personal data that you have shared about yourself being held by the Greater Manchester Access Programme.

Yes

Do you want to receive email?*

Please select ‘Yes’ to give your consent to receive email from the Greater Manchester Access Programme.

Yes

No

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Personal data consent (GDPR) date (hidden)

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Last login (hidden)

Phone

This field is for validation purposes and should be left unchanged.

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