20th September 12pm – 2pm

Gloucestershire Primary Care Training Hub has commissioned 15 funded places for Registered Nurses on 20th September 12pm – 2pm, online for Flu, Pneumonia and Shingles updates. Please complete the below expression of interest form. We will inform you if you have been successful in securing a place.

Due to incredible demand the initial 15 places for this course have now been taken, but please complete the below form if you wish to be added to the waiting list for any places which may become available

Name(Required)

Email Address(Required)

Please note this email address will be used to send the joining link

Role(Required)

Practice(Required)

Declaration(Required)

By Ticking this box i agree that my information will be stored and processed to facilitate my attendance at this event. I also agree to notify the Training Hub if circumstances dictate that i can no longer attend so my place can be offered to other colleagues. Failure to notify the Training Hub may incur a charge.

Do you have a few moments to answer some optional EDI Questions?

Yes

Not at this time

Optional EDI Questions

The Equality Act 2010 protects people against discrimination on the grounds of their age. Please indicate DOB below. Please leave blank if you would prefer not to answer.

The Equality Act 2010 protects people against discrimination on the grounds of their sex. Please indicate your gender below, or put prefer not to answer.

The Equality Act 2010 protects people who are married or in a civil partnership. Please indicate your marital status below:

The Equality Act 2010 protects bisexual, gay, heterosexual and lesbian people from discrimination on the grounds of their sexual orientation. Which of the following options best describes yourself:

The Equality Act 2010 protects people against discrimination on the grounds of their race which includes colour, nationality, ethnic or national origin. Please indicate your ethnic origin below:

The Equality Act 2010 protects people against discrimination on the grounds of their religion or belief, including a lack of any belief. Please indicate your religion or belief

The Equality Act 2010 protects disabled people – including those with long term health conditions, learning disabilities and so called "hidden" disabilities such as dyslexia. Further information regarding the definition of disability can be found here: https://www.gov.uk/definition-of-disability-under-equality-act-2010. Do you consider yourself to have a disability?

Required Adjustments

Gloucestershire Registered Nurses – Flu, Pneumonia and Shingles Update – EOI

20th September 12pm – 2pm

Optional EDI Questions