Foundation Doctor Representative Application

자바스크립트가 브라우저에서 활성화되어 있지 않아 이 파일을 열 수 없습니다. 활성화하고 새로고침하세요.

Please complete ALL questions in ALL four sections before submitting the form to apply for the role of regional representative on ASiT Council.
Details of the role can be found on the ASiT website (www.asit.org).
Please read the instructions carefully, any applications that do not comply will not be considered.
DEADLINE: 30th July 2022

Google에 로그인하여 진행상황을 저장하세요. 자세히 알아보기

Which foundation region are you applying from? *

East Anglia

Essex, Bedford, Hertfordshire

Ireland

Leicestershire, Northamptonshire, Rutland

London - NCE

London - NW

North West England

Northern

Northern Ireland

Oxford

Peninsula

Scotland - East

Scotland - North

Scotland - South East

Scotland - West

Severn

South Thames

Trent

Wales

Wessex

West Midlands - Central

West Midlands - South

West Midlands - North

Yorkshire & Humber - North

Yorkshire & Humber - West

Yorkshire & Humber - South

Background Details:

Please note you must be a paying ASiT member and at the level of FY1 or above (or due to start FY1 in August 2022) in order to be eligible to apply.

ASiT Membership Number: *

Full name: *

Grade starting August 2022: *

Email address: *

양식 지우기

Google Forms를 통해 비밀번호를 제출하지 마세요.

이 콘텐츠는 Google이 만들거나 승인하지 않았습니다. 악용사례 신고 - 서비스 약관 - 개인정보처리방침

설문지