Visiting Professional Programmes (VPP) – Application Form

Visiting Professional Programme

Start your VPP application here

How did you find us/hear about the Visiting Professional Programme? Required

Please select which programme you are applying to attend. Required

Please select which programme you are applying for? Required

How many weeks would you like to come for? Required

When would you like to start the programme? RequiredWe require a minimum of 6 weeks’ notice to be able to process your application so please consider this when selecting your start date

About you

Name Required

Prefix First Last

Email RequiredAn email address we can get back to you on.

Phone RequiredA telephone number we can contact you on.

Address Optional

Street Address Optional Address Line 2 Optional City Optional County / State / Region Optional Postcode Optional Country Optional

Your qualifications RequiredPlease provide details of your Medical Degree and any other relevant qualifications you hold

Professional experience RequiredPlease outline your previous experience, relevant to this attachment

Personal statement RequiredPlease say how attending this Visiting Professional Programme will benefit you and why you wish to attend this programme

My clinical objectives RequiredPlease list (on separate lines) the 5 most important clinical objectives you wish to gain from the programme

Current job role

Name of current job role/post Required

Name of institution/employer and address Required

Your supervisor/head of department/clinical referee

Supervisor/head of department/clinical referee's name Required

Prefix First Last

Supervisor/head of department/clinical referee's job role/post Required

Supervisor/head of department/clinical referee's email address Required

Supervisor/head of department/clinical referee's telephone Optional

CV

CV upload RequiredPlease upload a copy of your latest CV

Drop files here or

Accepted file types: pdf, Max. file size: 128 MB, Max. files: 5.

Privacy Policy

Additional Information

Access to Health Records

Armed Forces Friendly GP Practice

Carer Information

Hospital Contact List

Hospital Waiting Times

Infection Prevention Control

Patient Charter

Patient Participation Group (PPG)

Practice Vacancies

Privacy Notices & Policies

Private Referrals

Reasonable Adjustment Digital Flag

Self Referrals

Summary Care Record

You Said, We Did

Zero Tolerance Statement

Cookies on this website

Visiting Professional Programmes (VPP) – Application Form