Library Membership

Library Membership Form

Title (e.g. Mr, Ms, Mx, Dr) (optional)

First Name

Last Name

Work Department and Work Address (please include postcode)

Please indicate if you would like to have books sent to your work address if you work in the community, mental health or at Louth Hospital

Personal Telephone / Mobile Number

Work Email

Job Title

Current Home Address (please include Postcode)

Work Telephone Number

If you are a placement student or apprentice please enter details of your course provider, course title and course finish date

If you are a placement student please enter your placement start and end dates (see information at the end of the form)

Permanent or Temporary Employment

If temporary when does your contract expire?

Employer

I would like to receive notices by

By completing this form: I agree to this data being held in accordance with the Data Protection Act (DPA) 2018 / UK General Data Protection Regulation (GDPR) for use in any relevant local library systems and in a system shared by NHS libraries in the Midlands. I agree to the Heath Libraries Midlands Terms and Conditions. I agree to abide by the Library and Knowledge Services’ regulations, as detailed in the Library Users’ Charter.

Address

Thank you - your membership request has been sent.

Placement Students

Please note that LCHS, LPFT and ULHT placement students may only join the library and borrow books for the duration of their placement(s) with the named Trusts.

Once you have joined the library please contact your local library if you have any subsequent placements so that we can update your file. You do not need to re-register each time unless your course and/or university changes.

Accessibility

Find out more about accessibility

Privacy Policy

Read our Privacy Policy

Service Information

Charter
Service Delivery Standards
Service Delivery Statistics