Foundation Trust Network: FTN membership application form

To join the Foundation Trust Network, please complete the form below. If you have any queries, please contact Julie Deeks.

Form fields marked like this * are mandatory.

How we will use your data

The Foundation Trust Network will not pass any information onto third parties. I allow the Foundation Trust Network to store and analyse the data and to use any results, including my data anonymously.

Please confirm your acceptance of this data use* I agree

Information on your organisation

Other:

Organisation name*

Address*TownPostcode

Name

Job title

Phone

If you feel any other members of your team should be included in the communications, please provide us with their full details:

Name

Job title

Phone

Membership details

Membership of the Foundation Trust Network runs from 1 April to 31 March. Organisations joining the Network from September onwards in the membership year will be invoiced pro rata. Our current fee for membership is £8,000.

Purchase order number*

Declaration* I confirm that we wish to become a member of the Foundation Trust Network.

FTN membership application form

Chief Executive:

Chair:

Communications lead:

Finance Director:

Company Secretary:

HR Director:

Director of Nursing:

Medical Director:

FT Project Lead:

Commercial Lead:

Contacts

Publications

See also