Practical Skills in Education Training and Leadership in Healthcare Science.

ApplicationForm – (MUST state Region in subject on email) and send to;

Fiona Fiorentino

Contact details for further information:

07590390278

Course dates

City / Day 1 / Day 2 / Day 3 / Day 4
Manchester / 24th January / 25th January / 30th January / 31st January
Newbury / 5th February / 6th February / 20th February / 21st February
Nottingham / 26th February / 27th February / 20th March / 21st March
Cambridge / 1st March / 2nd March / 18th April / 19th April
London / 8thMarch / 9thMarch / 27th March / 28th March
Durham / 12 April / 13th April / 25th April / 26th April

Please note that you must be able to commit to all four dates

4 half days Action Learning sets to be arranged to suit you.

Application closing date 3 weeks before programme

Section A – to be completed by all applicants

Applicant details
Name
Email
Second e-mail address
Telephone number
Second telephone number
Home Address (where you will be travelling to the course from)
Role/Job Title
Grade
Please give a brief description of your training responsibilities
Qualifications/CPD in Leadership
Please outline a short improvement project that you could use the learningand explain how you will present this. Poster, presentation, article evaluation etc(maximum 500 words)
Confirmation of line manager support to attend
Name
Role/Job Title
I certify that I support the above applicant attending the course and all of the action learning sets
Signed
Date

Section B –Accommodation

Please tick one option

Please tick one option
I confirm that I live more than a 90 minute journey away from the venue and will require assistance with accommodation
I will not need assistance with accommodation

Travel, and / or any other expenses related to attending this course, will not be reimbursed by the course providers. If you wish to make a claim for any travel and / or related expenses arrangements will need to made with your employer.