Become a member

Membership Type: Past staff memberPresent staff memberAssociate*

*Associate membership refers to any individual who would like to maintain an affiliation with the hospital but was not a staff member.

Title:

First Name:*

Surname:*

Nee (if applicable):

Email:*

Phone number:*

Address:*

Postcode:*

Occupation (nurse, visiting specialist, doctor, administration etc):*

Clinical speciality (if applicable):

Did you train at the Royal?: YesNo

Year started at RBWH:

Year finished at RBWH:

Year returned to RBWH:

Year finished at RBWH:

Please indicate the Alumni activities of interest to you:

Social gatherings/eventsHospital toursPhilanthropySeminars/talksMentorship

How did you hear about the Royal Alumni?:

Do you have a family member, friend or colleague who has worked at RBH, RWH or RBWH? If so, please refer them to our RBWH Alumni program.

Name of person being referred:

Email:

Address:

Tell us a Royal memory from when you worked at the hospital:

Privacy: All information on this form is used to compile the list of Royal Alumni and the send information to members about the Alumni and work of RBWH Foundation. Only a member's name, the year started and occupation will be disclosed to other Alumni members through the online Alumni directory unless otherwise specified upon registration. Some members may also be contacted for PR purposes. For more information on our Privacy Policy please see the RBWH Foundation Privacy Policy.