If you're interested in joining Royal Free Radio please fill in the form below. We operate in Enfield, London, so please only apply if you are able and willing to commute to Chase Farm Hospital. If you are local to one of our other served hospitals, Royal Free or North Middlesex, you may still apply and we will be in contact with how you can get involved.

Your First Name

Your Surname

Contact Telephone Number

E-mail

House Number/Name

Address Line 1

Address Line 2

Town / City

Post Code

Main Interests

Presenting*
Studio Helper
Fund - raising
Technical

* Under normal circumstances we only recruit presenters from existing members who have participated in other activities with us for a period.

Your Availability

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Daytime

N/A
N/A

Evening

N/A

Are you In:

Full Time Employment
Part Time Employment
Retired
Student
Other

Hobbies and Interests:
(500 characters left)

Why do you want to join Royal Free Radio?
(500 characters left)

What skills do you think you would bring to Royal Free Radio?
(500 characters left)

Did our web site give you the information you were looking for? Any comments on the web site?
(500 characters left)

Where did you hear about Royal Free Radio?

-- Please Select -- Online search Word of mouth Local advert Other

I confirm that I am over eighteen years of age.

I confirm that I can commute to Enfield, London to participate with the charity.

I confirm that I am happy for Royal Free Radio to store the informaion supplied on this form for use in the processing of your member's application. For more information view our terms and conditions.

I confirm that I am happy for Royal Free Radio to contact me via Email.

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