Register for SIPTU Health Townhall Meeting on Public Sector Pay Talks Question Title * 1. Are you a SIPTU member? Yes No Question Title * 2. What location are you based in? Beaumont Hospital Cavan Monaghan General Hospital Children's Health Ireland at Connolly Hospital Children's Health Ireland at Crumlin Children's Health Ireland at Tallaght Children's Health Ireland at Temple Street Connolly Hospital, Blanchardstown Cork University Hospital Cork University Maternity Hospital Kerry University Hospital Letterkenny University Hospital Mater Misericordiae University Hospital Mayo University Hospital Mercy University Hospital Merlin Park University Hospital Midland Regional Hospital, Tullamore Our Lady of Lourdes Hospital, Drogheda Portiuncula University Hospital Sligo University Hospital St James' Hospital St Luke's General Hospital St Vincent's University Hospital Tallaght University Hospital Tipperary University Hospital University Hospital Galway University Hospital Limerick University Hospital Waterford Wexford General Hospital Question Title * 3. What is your name? Question Title * 4. What is your email address? Question Title * 5. What is your job title? Question Title * 6. By providing your details you consent that SIPTU can contact you regarding updates on the Town Hall meetings Yes No Question Title * 7. What is your phone number? Question Title * 8. Are you interested in joining SIPTU? I am already a member Yes, I am interested in joining SIPTU No, I am interested in joining SIPTU No I am a member of another Union SIPTU is committed to the General Data Protection Regulations 2018 and aims to maintain consistently high standards in protecting and securing all of your personal information. Our Privacy Notice can be viewed at www.siptu.ie/privacystatement Page1 / 1 100% of survey complete. Done