Haematology Consultant Workforce: the next 10 years

These are to advance the practice and study of haematology and to faclitate contact between persons interested in haematology.

Personal Information
Title*
Forename*
Surname*
Date of birth*
Gender*	Male Female
Address Information
Preferred address for contact / mailings*	Home address Professional address
Professional address*
Postcode*
Work Tel No.*
Home address*
Postcode*
Home Tel No.*
Email address*
Mobile No.
Daytime fax
Additional Information
I wish to be considered for*
Ordinary Associate BMS Nurse membership

Qualifications*

Present job title, grade, NHS Trust and date of appointment

Previous Haematology posts held with dates*


Haematology sub-speciality/special interests (tick as many as apply)*
Molecular Haematology	Stem cells Transplantation
Laboratory Haematology	Red Cell Disorder/Haemoglobinopathy
Obstetric Haematology	Transfusion Medicine
General Haematology	Haemostasis/Thrombosis
Haemato-oncology	Paediatric Haematology

Position (tick as many as apply)*
Consultant	BMS
Specialist Registrar	Nurse
Clinical Scientist	Other Medical
Academic	Other

Affiliation
Academic/University	NHS

Interest in Forums*
Science Forum	Paediatric Haematology Forum
BCSH (British Committee for Standards in Haematology)	Nurse Forum

Region where currently employed

Any other information you consider relevant

Biography*

Due to increased spamming on the web, an additional security question is required to be answered before your membership application form is submitted. Please note that this field is mandatory. *For security, please enter the text “” in the text field:

The British Society for Haematology