Newham Multi-Professional Educator Group

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* 1. Please provide us with your details

Name

Practice/PCN

Role

Email Address (Your NHS Email Address Please)

Borough

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* 2. Are you currently supervising/mentoring anyone?

Yes

No

Which professional groups you currently (or would like to) supervise/mentor?

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* 3. Are you an approved educator/mentor?

Yes

No

Where did you get your approval from?

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* 4. If not already, would you like your practice to be an approved learning environment?

Yes

No