Once you have submitted this request and funding is authorised we will contact you on the email address provided with details of what happens next which is dependant on the course(s) chosen.
New courses are constantly being added so please read through the list before making selections.

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* 1. Full name

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* 2. NHS email address

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* 3. Job role

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* 4. Contact number (in case of cancellation/changes)

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* 5. Practice name

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* 6. PCN name

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* 7. Practice Manager name

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* 8. Practice Manager's email address

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* 9. Which area of West Yorkshire do you work in?

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* 10. What course(s) are you applying for? (Maximum of 2 courses per person - please refer to the programme guide)

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* 11. You must have permission from your Practice Manager to apply for this course and ensure you can be released from practice to attend

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* 12. We will need to share your details with the training provider to allow them to book you onto the chosen training.

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* 13. You will automatically be added to our distribution list to receive our fortnightly WY PCWTH Bulletin containing information on our programmes/courses/training/funding etc.. If you wish to opt out, select the following box.

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* 14. Please leave any comments or questions in the textbox below.

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