Standard

Online Application Form to join BAOS

Price:

Free

First Name:* First Name Required

Last Name:* Last Name Required

Title:* Title is Required

MsMissMrsMrDrProfessor

BAOS Membership:* BAOS Membership is Required

FullAssociateTraineeUndergraduateDental NurseRetiredHonorary

Gender:* Gender is Required

MaleFemaleNon-binaryPrefer not to say

Nationality: Nationality is not valid

Contact Address Line1:* Contact Address Line1 is Required

Contact Address Line2: Contact Address Line2 is not valid

Contact Address Line3: Contact Address Line3 is not valid

Town/City: Town/City is not valid

Postcode:* Postcode is Required

Country: Country is not valid

BAOS Region:* BAOS Region is Required

Please SelectNorthern Ireland & IrelandNorth EastNorth WestEast MidlandsWest MidlandsWalesSouth WestSouth EastGreater LondonYorkshire & HumberScotlandOverseas

Email:* Email is Required

Telephone:* Telephone is Required

GDC Number:* GDC Number is Required

Are you on the GDC Specialist Register for Oral Surgery?:* Are you on the GDC Specialist Register for Oral Surgery? is Required

Yes No

Have you been working in oral surgery for the last 4 years?:* Have you been working in oral surgery for the last 4 years? is Required

Yes No

Qualifications:* Qualifications is Required

Current Role (Please select all that apply):* Current Role (Please select all that apply) is Required

Primary Care - Specialist Performer Primary Care - Performer Primary Care - GDP Primary Care - Vocational Training Secondary Care - Consultant Secondary Care - SAS Grade Secondary Care - Trainee Secondary Care - DCT/FD Undergraduate Community Dental Service - Specialist Performer Community Dental Service - Performer Dental Nurse Other

Service (Please select all that apply):* Service (Please select all that apply) is Required

Armed Services Community Dental Service General Dental Service Hospital Service University Other

If trainee or undergraduate, please give your completion of training or graduation date (note 2): If trainee or undergraduate, please give your completion of training or graduation date (note 2) is not valid

Where did you hear about BAOS?:* Where did you hear about BAOS? is Required

Via a Colleague Social Media Dental Showcase (please specify below) At a CPD Event At an Undergraduate Presentation Other (please specify below)

If Dental Showcase or Other, please specify: If Dental Showcase or Other, please specify is not valid

What do you hope to gain by joining BAOS (please select all that apply):* What do you hope to gain by joining BAOS (please select all that apply) is Required

Clinical Support Emotional Support Keep abreast of Guidelines & Standards Support for Contracts Support for Tier 2 Support for SLAA Submit Poster/Open Paper at conference Free CPD Preferential Rates for Conference Other (please specify below)

If Other, please specify:: If Other, please specify: is not valid

Membership Fee: Membership Fee is not valid

I have returned a Direct Debit Mandate (not applicable to undergraduates)

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

I declare that I accept these terms and conditions of membership*

 

No val Please fix the errors above

Note 1 BAOS Regions

Please select the region you would prefer to be allocated to. If in doubt, select the one that you think best applies; you can always change it once your membership has been approved.

Note 2 Trainees

If applying for Trainee Membership, you must send us evidence in the form of a dated letter or contract from your employer that includes the following information:

– Title of current post
– Where located
– Start date (mandatory) and finish date (if known) of this post

Your evidence should be sent to mail@baos.org.uk and must be submitted at the same time you complete your online Membership application form.