Job Title: Employer: Work Address incl Postcode: Tel No: Mobile No. E-mail: Allied Health profession you work within: 4. APPLICATION DETAILS 4.1 I confirm that the learning opportunity has been identified and agreed via the applicant’s KSF and PDP. ( Page 17) I confirm 4.2 Please include relevant extract from PDP ( Page 17) 4.3 Why do you support this application? ( Page 18) If the identified learning opportunity relates to an HNC / HND, please complete questions 4.4 and 4.5. If not, please continue to question 4.6. 4.4 If the application is to support an HNC / HND, please provide the name of the appointed mentor. ( Page 18) 4.5 Please confirm that you will ensure that the mentor is available to participate in mentor support provided by the College (NB: 1-2 days of support and advice for HNC mentors will be provided by the College) ( Page 18) I confirm 4.6 Please describe your commitment regarding time allocation for any leave, assessment, classroom time in addition to reflective learning. ( Page 18)
Job Title: Employer: Work Address incl Postcode: Tel No: Mobile No. E-mail: Allied Health profession you work within: 4. APPLICATION DETAILS 4.1 I confirm that the learning opportunity has been identified and agreed via the applicant’s KSF and PDP. ( Page 17) I confirm 4.2 Please include relevant extract from PDP ( Page 17) 4.3 Why do you support this application? ( Page 18) If the identified learning opportunity relates to an HNC / HND, please complete questions 4.4 and 4.5. If not, please continue to question 4.6. 4.4 If the application is to support an HNC / HND, please provide the name of the appointed mentor. ( Page 18) 4.5 Please confirm that you will ensure that the mentor is available to participate in mentor support provided by the College (NB: 1-2 days of support and advice for HNC mentors will be provided by the College) ( Page 18) I confirm 4.6 Please describe your commitment regarding time allocation for any leave, assessment, classroom time in addition to reflective learning. ( Page 18)
cpd_application_form_winter_2014.docx