Rookwood Sound Online: Join Us: Online Application Form

Rookwood Sound Online: Online Application Last Updated: 12-Mar-2007

Entertaining patients, visitors and staff for 19 years from The Jeff Lyons Suite at Rookwood Hospital, Llandaff. Hear us at Rookwood on 945am and Llandough on Channels 1 and A! *** Rookwood Sound is run entirely by volunteers ***

Online Application Form

Please fill out all the sections on the form below. Once you have completed all the information click on the submit button - you will need to have an email programme set up on your computer to use this form. If you need advice contact webmaster@rookwoodsound.co.uk

Please complete all of the relevant answers in the following sections - all information will be treated with confidentiality (inline with the Data Protection Act)

Section 1 -About You
Section 2a - Employment Information
Section 2b - Education Information (if you are still in school/college)
Section 3 - Broadcast History
Section 4 - Personal Information
Section 5 - References

Section 1: About You

Title First Name Surname

Other Names Date of Birth (DD/MM/YYYY)

Home Address - Please include your Post Code

How long have you lived at this address?

If less than 12 months please detail previous addresses specifying times

Telephone Number    Mobile Number

Email Address

Section 2a: About your employment history (if in college/school please complete section 2b)

Name of Employer

Employers Address

Brief outline of your duties

Section 2b: About your Education (Only complete if you left Section 2a blank)

Name of school/college/university

Name of course

Section 3: About your broadcasting history

Please list any experience (If you have any)

Please list any Previous Hospital Broadcasting Experience -

Don't forget to include the name of the station, a contact name and the time you spent at that station

Section 4: Personal Information - this information is used for Hospital Security

Do you suffer from any medical condition?


If 'YES' please detail the main condition (this can be discussed at the induction evening)


Have you ever been convicted of any crime?


If 'YES' please detail: Excluding those classed as spent under Rehabilitation of Offenders Act 1974



Please describe briefly what qualities you could bring to Rookwood Sound.

Do you have any objection to patient visiting?  

If YES please give reasons (Choosing Yes does not by implication preclude you from joining)

Section 5: References - only complete if you do not have any Hospital Radio Experience

Please provide name and address of someone who knows you, preferably your employer,

who we can contact for a character reference

Please note in the event of any inaccurate information being given on this form, Membership of Rookwood Sound will be Terminated.

I declare the information given is correct and I authorise Rookwood Sound to follow up such information it deems appropriate in relation to my application - please tick this box if you agree with this statement

All members, once approved have a Rookwood Sound email address allocated to them - do you consent for an address to be set up for you

Current Membership Rates

Full Time Employment - £50 per annum (paid either a lump sum or £12.50 quarterly)
Students, OAPs, Part Time & Unemployed - £10 per annum (paid either a lump sum or £ 2.50 quarterly)

We would ask if you are a tax payer that you gift aid your subscription to Rookwood Sound

Membership rates can change please check our website for further details.

Membership benefits include access to and participation in:

Copies of Radio Magazine
HBA On Air Publication
In House Training Schemes
Attendance at Conferences
Regional Events

We are pleased to be a member of the Hospital Broadcasting Association	Rookwood Sound is a Registered Charity in England and Wales: 517814
All Content is © 2007 of Rookwood Sound Hospital Radio >> Need help? Contact the Webmaster >> Site Design by Neil Bailey