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Buddy request form for returning to work
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Email
*
Your email
What is your name?
Your answer
What is your email address?
Your answer
Which school of anaesthesia are you in?
Your answer
Are you an anaesthetics/ICM/dual trainee?
Your answer
Which year of training are you currently in?
Your answer
Do you know which hospital you will return to?
Your answer
What is your expected date of return?
Your answer
Reason for leave from training?
Your answer
Anything ekse you'd like taken into consideration? Any particular concerns about returning to work etc
Your answer
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