govconnect.co.uk Open in urlscan Pro
2a07:7800::183  Public Scan

URL: https://govconnect.co.uk/gc-alliance-membership-join-now/
Submission: On January 30 via api from ES — Scanned from GB

Form analysis 1 forms found in the DOM

POST /gc-alliance-membership-join-now/#gf_2

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_2" id="gform_2" action="/gc-alliance-membership-join-now/#gf_2" novalidate="">
  <div class="gform_body gform-body">
    <div id="gform_fields_2" class="gform_fields top_label form_sublabel_below description_below">
      <fieldset id="field_2_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible">
        <legend class="gfield_label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
        <div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_2_1">
          <span id="input_2_1_3_container" class="name_first">
            <input type="text" name="input_1.3" id="input_2_1_3" value="" tabindex="50" aria-required="true">
            <label for="input_2_1_3">First</label>
          </span>
          <span id="input_2_1_6_container" class="name_last">
            <input type="text" name="input_1.6" id="input_2_1_6" value="" tabindex="52" aria-required="true">
            <label for="input_2_1_6">Last</label>
          </span>
        </div>
      </fieldset>
      <div id="field_2_2" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_2">Email<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_2" id="input_2_2" type="email" value="" class="large" tabindex="54" aria-required="true" aria-invalid="false">
        </div>
      </div>
      <div id="field_2_5" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_5">Phone<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_5" id="input_2_5" type="tel" value="" class="large" tabindex="55" aria-required="true" aria-invalid="false"></div>
      </div>
      <div id="field_2_3" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_3">Organisation<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_3" id="input_2_3" type="text" value="" class="large" tabindex="56" aria-required="true" aria-invalid="false"> </div>
      </div>
      <div id="field_2_4" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_4">Job Title<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_4" id="input_2_4" type="text" value="" class="large" tabindex="57" aria-required="true" aria-invalid="false"> </div>
      </div>
      <fieldset id="field_2_6" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible">
        <legend class="gfield_label gfield_label_before_complex">Which conferences are you most interested in attending?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
        <div class="ginput_container ginput_container_checkbox">
          <div class="gfield_checkbox" id="input_2_6">
            <div class="gchoice gchoice_2_6_1">
              <input class="gfield-choice-input" name="input_6.1" type="checkbox" value="Mental Health 2024" id="choice_2_6_1" tabindex="58">
              <label for="choice_2_6_1" id="label_2_6_1">Mental Health 2024</label>
            </div>
            <div class="gchoice gchoice_2_6_2">
              <input class="gfield-choice-input" name="input_6.2" type="checkbox" value="Patient Safety 2024" id="choice_2_6_2" tabindex="59">
              <label for="choice_2_6_2" id="label_2_6_2">Patient Safety 2024</label>
            </div>
            <div class="gchoice gchoice_2_6_3">
              <input class="gfield-choice-input" name="input_6.3" type="checkbox" value="Delivering a Net Zero NHS 2024" id="choice_2_6_3" tabindex="60">
              <label for="choice_2_6_3" id="label_2_6_3">Delivering a Net Zero NHS 2024</label>
            </div>
            <div class="gchoice gchoice_2_6_4">
              <input class="gfield-choice-input" name="input_6.4" type="checkbox" value="ICS - 25th June 2024" id="choice_2_6_4" tabindex="61">
              <label for="choice_2_6_4" id="label_2_6_4">ICS - 25th June 2024</label>
            </div>
            <div class="gchoice gchoice_2_6_5">
              <input class="gfield-choice-input" name="input_6.5" type="checkbox" value="NHS LTP - 25th June 2024" id="choice_2_6_5" tabindex="62">
              <label for="choice_2_6_5" id="label_2_6_5">NHS LTP - 25th June 2024</label>
            </div><button type="button" id="button_6_select_all" onclick="gformToggleCheckboxes( this )" data-checked="0" data-label-select="Select All" data-label-deselect="Deselect All">Select All</button>
          </div>
        </div>
      </fieldset>
      <div id="field_2_7" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_7">What areas of healthcare policy or pathways are you most interested in
          hearing about? (optional)</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_7" id="input_2_7" class="textarea large" tabindex="63" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </div>
    </div>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_2" class="gform_button button" value="Join Now" tabindex="64"
      onclick="if(window[&quot;gf_submitting_2&quot;]){return false;}  if( !jQuery(&quot;#gform_2&quot;)[0].checkValidity || jQuery(&quot;#gform_2&quot;)[0].checkValidity()){window[&quot;gf_submitting_2&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_2&quot;]){return false;} if( !jQuery(&quot;#gform_2&quot;)[0].checkValidity || jQuery(&quot;#gform_2&quot;)[0].checkValidity()){window[&quot;gf_submitting_2&quot;]=true;}  jQuery(&quot;#gform_2&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" name="gform_ajax" value="form_id=2&amp;title=&amp;description=&amp;tabindex=49">
    <input type="hidden" class="gform_hidden" name="is_submit_2" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="2">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_2" value="WyJbXSIsIjdhY2JiZGE1YTk1OGVjZmY1ZjQxMmU5ZTEwODU5NTBjIl0=">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_2" id="gform_target_page_number_2" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_2" id="gform_source_page_number_2" value="1">
    <input type="hidden" name="gform_field_values" value="check=First+Choice%2CSecond+Choice">
  </div>
</form>

Text Content

Skip to content
 * Home
 * Webinars
 * Conferences
 * GC Alliance
 * Speakers
 * About

Menu
 * Home
 * Webinars
 * Conferences
 * GC Alliance
 * Speakers
 * About

Book Your Conference
Twitter Linkedin Youtube


GOVCONNECT


ALLIANCE MEMBER

Fill out the form below to become a GC Alliance Member.


Name*
First Last
Email*

Phone*

Organisation*

Job Title*

Which conferences are you most interested in attending?*
Mental Health 2024
Patient Safety 2024
Delivering a Net Zero NHS 2024
ICS - 25th June 2024
NHS LTP - 25th June 2024
Select All
What areas of healthcare policy or pathways are you most interested in hearing
about? (optional)


Previous
Next

JOIN THE GOVCONNECT ALLIANCE

Keep up to date with everything that’s happening from the latest government
policy to engaging webinars – join now to stay informed

Find Out More

With over 200,000 on demand delegates, numerous annualised conferences, and
cutting edge webinars, we are the fastest growing organisation in this space.

Twitter Linkedin Youtube

SERVICES

 * Conferences
 * Webinars

WORK WITH US

 * Speakers
 * Sponsors

RESOURCE

 * Open Access
 * Insights

BOOKING

 * Conferences
 * Webinars

COMPANY

 * Tel: 0161 464 6620
 * Email: Click here
 * Address: Open Maps
 * Contact us



All Rights Reserved © 2023 Govconnect ltd
Registered Number: 9688781 |VAT Number: 237 2659 90
 * Privacy Policy
 * Term of Services
 * Cookies

Scroll to Top

Notifications