Dorset Maternity Voices Dorset Maternity Voices Lead Representative West Dorset – Expression of Interest form Name Telephone number (We may need to contact you to discuss your expression of interest.) Email address (Our preferred method of contact in order to keep our costs to a minimum.) Address and Postcode Role Profile Please confirm that you have Yes read the role Profile and that you meet the role requirements. No Experience Referring to the role profile and person specification, please outline your experience relevant to the role and tell us about the value you could bring as an ambassador for patient and public voice We will need to carry out Yes interviews with candidates. No Please confirm you are willing to participate in an interview. Important information
Dorset Maternity Voices Dorset Maternity Voices Lead Representative – West Dorset Expression of Interest form Name Telephone number (We may need to contact you to discuss your expression of interest.) Email address (Our preferred method of contact in order to keep our costs to a minimum.) Address and Postcode Role Profile Please confirm that you have read the role Profile and that you meet the role requirements. Yes No Experience Referring to the role profile and person specification, please outline your experience relevant to the role and tell us about the value you could bring as an ambassador for patient and public voice We will need to carry out interviews with candidates. Please confirm you are willing to participate in an interview. Yes No Important information
MVLR-EOI-form.docx