LaSE Foundation Pharmacist Legacy Programme Application form
Please complete this application form and attach the FP Registration to the programme 2020 excel spreadsheet upon submission
This form should be completed by the FP EPD
Name of Organisation
If your Organisation is not listed on the dropdown above, please enter below.
Submission of registration to the LaSE Legacy Foundation Programme
Please complete the FP Registration to the programme 2020 excel spreadsheet available to download from the page above. Zip the file and upload it here
I agree to the Terms & Conditions as outlined in the Learning Agreement
Please refer to the HEE privacy notice https://hee.nhs.uk/about/privacy-notice for information on how HEE manage your data.