Medical Training Initiative (MTI): Associate membership application

Part 1 - Personal details

Part 2 - Current appointment

I confirm that I am currently employed in the UK in a non-consultant career grade post in anaesthetics/critical care/pain medicine.
(This may be full or part-time)
Registration Type
Are you a permanent UK resident?
I confirm that I have been appointed to an MTI post in the UK

Part 3 - Curriculum vitae

Allowed file types: txt rtf pdf doc docx

Payment method

Once we have verified your application form, our Membership team will be in touch to arrange payment by your preferred method.

Equality, diversity and inclusion

We have a strong commitment to equality, diversity and inclusion within the College, and these principles are embedded into our values and the way we work. It is for this reason that we are working hard to create and foster the proper representation of ethnic minority, gender and other groups that share protected characteristics in the work of the College and wider specialty. In order to achieve this we are conducting wide-ranging projects to obtain the necessary data to underpin a strategic, supportive and open approach to EDI.

To help us do this, we encourage you to complete the following questionnaire on ethnicity, diversity and inclusion as this data will help us:
  • develop a more detailed picture of our membership profile so we can consider and address areas of under-representation
  • better understand the needs of our Fellows, Members and stakeholders
  • inform strategic planning and policy reform to improve equality, diversity and representation across our work
  • assess the impact of our initiatives and;
  • promote, develop and foster positive relations between different groups.
In line with the Data Protection Act 2018 (C.12), the College will always keep your information safe and stored appropriately. Please see our Privacy Policy for further details. You can request for your data to be deleted if you change your mind.

The College is determined to create a more inclusive environment at all levels where differences are valued and respected.

PLEASE NOTE: If you have provided the below information previously and your details have not changed, you are not required to complete this form.

Ethnic groups are based on the Census 2021 categories
If you are considering how to answer, use the sex recorded on your birth certificate or Gender Recognition Certificate.
Do you consider yourself to have a disability according to the terms given in the Equality Act 2010?
The Equality Act 2010 protects people with disabilities. The Equality Act 2010 defines a person as disabled if they have a physical or mental impairment, which has a substantial and long term (ie has lasted or is expected to last at least 12 months) and adverse effect on the person's ability to carry out normal day to day activities.
Do you have carer responsibilities?
Is English your first language?
I am interested in the Member Engagement Panel*:
*The Membership Engagement Panel is an online virtual panel of membership that receive surveys and opportunities to share feedback to the College and help us shape future strategy and work.

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

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