Student Council Member Application Form

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Student Council Member Application Form

Step 1 of 5

Personal details

PLEASE NOTE: This form requires you to upload images and documents and many firewalls and NHS computers and laptops will not allow this. When completing this form, it is advised that you use your own personal computer and home wifi when completing this form, when possible. Thank you.

Name *

First

Last

Address *

Street Address

Address Line 2

Town/City

County/State

Postal/Zip Code

Email *

Confirm Email

Contact Telephone Number *

Twitter handle

Instagram handle

LinkedIn profile

Date of birth

Gender *

Is your gender identity the same as the sex you were registered at birth? *

Yes
No
Prefer Not to Say

Ethnicity *

If there is not a suitable option please select "Other" or "Unknown".

Save and Resume Later

Florence
Nightingale
Foundation