MSU FD Registration Form | Clinical Skills Managed Education

Please select which two day MSU Faculty Development Course you would like to attend

Thursday 25 & Friday 26 April 2024
Thursday 27 & Friday 28 June 2024
Thursday 7 & Friday 8 November 2024
Thursday 6 & Friday 7 February 2025

Name

Role

Health Board

Job Family

Workplace address

Telephone no.

Email

Please indicate if you intend to be a Host and/or Trainer on the Mobile Skills Unit

Host
Trainer

Please indicate which region you would to be a Host or Trainer on the Mobile Skills Unit?

Special requirements

Would you like to become a member of the Clinical Skills Managed Educational Network? Your details will be added to our network only and not shared with any third parties.

Consent for storing submitted data

Yes, I give permission to store and process my data

Security