Application Form

State what interests you most about the Public Health Community Fellowship in terms of your career plans and what you hope to gain from participating in it in terms of your personal and professional development. Please also include how you believe your participation in the Fellowship will benefit your work in the NHS in the future.
Please provide details of any experience you have of working with community groups, or other organisations outside the NHS, and what you learned from it. Please also include any relevant public health experience.
First being your most desirable

Please submit this form with a current CV to sally.james@wm.hee.nhs.uk  by 12th October 2016

Submission of this form is taken as confirmation that you are able to commit 8 days to the Fellowship between December 2016 – March 2017