PULSE Programme Application - March

 

1. Name *

 

2. Email address *

 

3. Contact number (Whatsapp) - for teaching opportunities, changes in schedule, and fast communication during unforeseen circumstances. *

 

4. Speciality *

 

5. Last Day of Employment at GOSH *

   DD/MM/YYYY 
 
 

6. Formal Teaching Qualifications (you may pick more than one) *

 

7. Do you have any research or publications in education? Please comment details. *

 

8. Why would you like to be a part of PULSE? (max 250 words) *

 

9. Demonstrate how you have been a reflective educator in your career (max 500 words)

NOTE: e.g. mention a teaching session you delivered, how you improved upon the feedback and what you learnt from it *

 

10. How can you contribute to the educational department at GOSH as a PULSE faculty member? *

 

11. Becoming a PULSE faculty member is a competitive process. By completing this form you adhere to upholding the high educational standards of Great Ormond Street Hospital. If accepted, you agree to complete the requirements to complete the programme, and the team holds the right to withdraw your membership if there is lack of communication or contribution.  *