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Newham Multi-Professional Educator Group
1.
Please provide us with your details
Name
Practice/PCN
Role
Email Address (Your NHS Email Address Please)
Borough
*
2.
Are you currently supervising/mentoring anyone?
(Required.)
Yes
No
Which professional groups you currently (or would like to) supervise/mentor?
*
3.
Are you an approved educator/mentor?
(Required.)
Yes
No
Where did you get your approval from?
*
4.
If not already, would you like your practice to be an approved learning environment?
(Required.)
Yes
No
