External Adviser for ARCP: Registration Form Full Name Email address Region/Deanery CRN Hospital Role Role - Select -Regional AdvisorTraining Programme DirectorCollege TutorOther… Please provide details Are you a dual consultant in anaesthetics and ICM? Yes No Your preferences Every effort will be made to match you with your requested panel; however, this may not always be possible. Please select the weekdays you are available (Please select one or more days by ticking the boxes below) Monday Tuesday Wednesday Thursday Friday Region/Deanery to avoid (if in person) Additional Information Confirmation Data Protection Statement The Royal College of Anaesthetists (RCoA) is fully committed to the principles of data protection, as set out in the Data Protection Act 2018 (C.12). The RCoA relies on legitimate interests as the lawful basis for processing of personal data. We process and maintain personal data about you so that we can manage your membership, provide you with appropriate products and services and share information with you about RCoA activities. We will only use your information for the purposes as described and will not pass on your details to other third parties unless you have given us consent to do so. We use appropriate organisational and technical measures to ensure that your data are secure and protected from loss, misuse and unauthorised access or alteration. You have the right to ask for a copy of the information we hold about you and to have any inaccuracies in your information corrected. If you have any questions about data protection or require further information, please email dpo@rcoa.ac.uk I have read and understand the College's data protection statement CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
