New Member Application

Email : Name : Address : Post code : Date of Birth : Relationship to you : Date of Birth : Post code : Address : Name : Date of Birth : Post code : Address : Name :

Application to Join the MKHR team

All of our team are volunteers who work within Milton Keynes Hospital. We therefore have to follow the NHS Trust policy for recruiting volunteers. This requires you to provide information about yourself, and details of two referees who will support your application. You will also be required to undergo a DBS check as part of your application.

To proceed with your application, please complete the form below

Details of your second Referee

Your Details

By submitting this application you declare that the information is correct and give your consent for the details on this form to be emailed to MKHR. These details will be used to process your application and may be shared with the NHS Trust.

Please tell us a little about yourself, including details of any disability and/or conviction

Tel No. : Relationship to you :