Trainee Representative Application Form 2024 name Forename name Surname name Personal Email name Trust Email name Mobile Number name Trust [Select] Barking, Havering and Redbridge University Hospitals NHS Trust Barnet, Enfield and Haringey Mental Health NHS Trust Barts Health NHS Trust Camden and Islington NHS Foundation Trust Central and North West London NHS Foundation Trust Chelsea and Westminster Hospital NHS Foundation Trust Croydon Health Services NHS Trust East London NHS Foundation Trust Epsom and St Helier University Hospitals NHS Trust Great Ormond Street Hospital for Children NHS Foundation Trust Guys and St Thomas NHS Foundation Trust Homerton University Hospital NHS Foundation Trust Imperial College Healthcare NHS Trust Kings College Hospital NHS Foundation Trust Kingston Hospital NHS Foundation Trust Lewisham and Greenwich NHS Trust London North West University Healthcare NHS Trust Moorfields Eye Hospital NHS Foundation Trust NHS South East London Integrated Care Board North East London NHS Foundation Trust North Middlesex University Hospital NHS Trust Oxleas NHS Foundation Trust Royal Brompton and Harefield Hospitals part of GSTT Royal Free London NHS Foundation Trust Royal National Orthopaedic Hospital NHS Trust South London and Maudsley NHS Foundation Trust South West London and St George's Mental Health NHS Trust St Georges University Hospitals NHS Foundation Trust The Hillingdon Hospitals NHS Foundation Trust The Royal Marsden NHS Foundation Trust University College London Hospitals NHS Foundation Trust West London NHS Trust Whittington Health name Are you able to attend the virtual training session on Thursday 5 September? Yes No name As part of being a Trainee Representative you give permission for your trust email address to be shared with the trainee reps and with the rest of the cohort. Please also confirm that you are happy for the following contact details to be shared with the other trainee reps: Mobile number Yes No Personal email address Yes No Trainee Representative Supporting Information In the event of trainee rep applications exceeding the number of reps needed for your group or cohort, we will select the candidates based on the responses to the following questions: name Please list any previous posts that you have been involved in representing the views of others What methods would you use to canvas opinions from your colleagues, to ensure all relevant views were captured? (Max 50 words) Why do you want to take on this role? (Max 50 words) What would your top priority be if you were offered this opportunity? (Max 50 words) name What contributions have you made in the past for improving or developing your programme of study (or other activity you have been involved with)? (Max 120 words) What do you think NHS England gains from including trainee reps on their programmes? (Max 120 words) Please refer to the NHS England privacy notice https://www.england.nhs.uk/contact-us/privacy-notice/ for information on how we manage your data. Submit form
