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Application form - Resilient Practice Workshop
Friday 7th May, 10am - 12pm
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Title (Mr, Mrs, Dr., Prof. etc)
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Your answer
First name(s)
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Last name
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Job title / post
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Hospital(s) / trust / practice
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State / city / town of your work place (If you work outside of the UK, please also state your country)
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Mobile telephone number
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Email address
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