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Mentoring Faculty

We would like to acknowledge and recognise the work being done in and around GOSH and would appreciate you completing this form throughly.

 

Online Registration Form

Price category
 *
Title
 *
(Mr/ Mrs/ Miss/ Dr / Ms)
First Name
 *
Surname
 *
Department
 *
Position
 *
Grade
 *
Mobile No
 *
Email
 *
Who are you currently Mentoring?
How long have you been Mentoring this person?
How many times have you met?
Who are you currently Mentoring?
How long have you been Mentoring this person?
How often have you met?
Do you have any additional people whom you Mentor?
 *
Terms and Conditions
No booking is confirmed until written confirmation is received from the PGME department. For full Terms and Conditions please see below. By completing you booking you are confirming you have fully read the terms and conditions.