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Mentor Sign-Up
If you are interested in being one of the mentors in PAMSA's mentorship scheme, please complete the sign-up form below to register your interest.
Name
*
Email
*
NHS Trust
*
What best describes your current post?
*
What best describes your current post?
A
Foundation Year 1
B
Foundation Year 2
C
Core Surgical Training
D
Internal Medical Training
E
Specialty Training
F
Other
If other, please specify below
What specialty will your stream be focussed on?
*
Why do you want to be a mentor?
*
What are your future career aspirations?
*
When do you want to begin your stream?
*
When do you want to begin your stream?
A
As soon as I can!
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