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Register

Home » About » Register

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

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

Organisation

Organisation website

Please enter the URL of your organisation's website.

Address*

Please enter your address into the fields below

Address line 1 Address line 2 Address line 3 Postcode

Are you currently a registered health care professional?*

Please select No if you are not currently registered with a professional body such as the Allied Health Professions Federation, General Medical Council, General Pharmaceutical Council or Nursing and Midwifery Council.

Yes

No

Your current discipline*

Please select your current discipline from the list below.

Registration number*

Please enter the registration number from the relevant professional body.

Your current role*

Please select the option that best describes your current role.

Are you an employer?*

Please select Yes if you are registering for an employer.

Yes

No

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

Which sector does your organisation operate in?*

Please select the sector that your organisation operates in

Primary care

Secondary care

Social care

Organisation type*

Please select your organisation type

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

Do you want to support the COVID-19 vaccination programme?*

Please select 'Yes' if you want support the GM COVID-19 vaccination programme.

Yes

No

Which role are you volunteering for?*

Please select a role from the options below.

Registered vaccinator

Unregistered vaccinator

Stewarding

Administration support

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

Hidden

Personal data consent (GDPR) date (hidden)

Hidden

Last login (hidden)

Hidden

Lantum ID

Enter a Lantum ID field for the user.

Hidden

Lantum onboarding completed?

Please select 'Yes' or 'No' to indicate whether the Lantum onboarding process has been completed.

Yes

No

Hidden

Date Lantum onboarding completed?

Please select the date when the Lantum onboarding process was completed.

DD dash MM dash YYYY

Hidden

Reason Lantum onboarding not completed

Please select the option that best explains the reason why the the Lantum onboarding process was not completed.

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