If you are interested in joining the Wigan Borough CCG Equalities Reference Group, please complete the short form and we will contact you soon. Applications are open until Monday 15th April 2019.

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* 1. Name 

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* 2. Contact Telephone Number 

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* 3. Contact Email or Post Address

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* 4. Why are you interested in joining the Equalities Reference Group?

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* 5. Do you hold any other voluntary or paid roles in the NHS?

If you require any further information, please contact shapeyournhs@wiganboroughccg.nhs.uk
Thank you for taking the time to complete!

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