National: Pre-registration Trainee Pharmacy Technician apprenticeship 22/23

1. In what sector is your organisation? *

General Practice
Hospital
Community Pharmacy
Other (please specify):

2. Name of employing organisation? *

3. Name and contact details of the lead person in your organisation for the PTPT Program? *


Name	Name
Job title	Job title
Email	Email
Phone number	Phone number

4. Number of apprentices looking to upskill or employ? *

5. Are you recruiting to the apprentice role or upskilling an existing member of staff? If you select 'both' please add additional information in the comments box *

Existing member/s of staff
Recruiting new staff
Both

Comments:

6. If existing member of staff, please provide details or confirm:

Name
Current role
Confirm has a full time contract or works a minimum of 30hrs per week
Confirm meets minimum eligibility requirements
Confirm will commit to the full 24 month training programme
Confirm will be allowed at least 12 weeks per year in partner placement
Confirm will be allowed at least one day per week for study

Comments:

7. If recruiting new staff, please indicate what support you might need:

8. Name and contact details of the educational supervisor (a GPhC-registered professional with a minimum of two years’ post-qualification experience) *


Name	Name
Job title	Job title
Email	Email
Phone number	Phone number

9. Name and contact details of the practice/clinical supervisor *


Name	Name
Job title	Job title
Email	Email
Phone number	Phone number

10. Do you currently have an identified partner for the cross sector placement? If yes, please put the name of that organisation in the comments box and if no, please indicate if you would like support to find a partner organisation *

Yes
No

Comments:

11. Would you be seeking a levy transfer to cover the costs of training? (Training Hub can support on this) *

Yes
No

12. Are there any further questions you have or further support you feel you will need?

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