Trainee Representative Application Form 2023

name
Forename
name
Surname
name
Personal Email
name
Trust Email
name
Mobile Number
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Trust
name
Are you able to attend the virtual training session on Wednesday 6 September?
Yes
No
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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)
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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 privacy notice https://hee.nhs.uk/about/privacy-notice for information on how your data is managed.