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1. Question 1.

First name

Required - Required.

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2. Question 2.

Family name

Required - Required.

3. Question 3.

Email address

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4. Question 4.

Daytime telephone number

Required - Required.

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Please tell us a bit about yourself and why you are interested in a public member role?

Required - Required.

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Please review the requirements of the role which are outlined on the NHS North East and North Cumbria website - https://northeastnorthcumbria.nhs.uk/news/posts/recruitment-of-public-members-for-secure-data-environment/ Please tell us how you meet the requirements of the role.

Required - Required.