General Practice & Public Health (Dual Programme) ST1

* = mandatory field. (Conditional) = only shown depending on earlier answers.

  • Yes/No * (Drop-down)
    • Yes
    • No
  • If Yes, please select one option from the following list. (Please note there is limited capacity at each test centre so we cannot guarantee your request will be accommodated). * (Drop-down · Conditional)
    • Athens, Greece
    • Auckland, New Zealand
    • Boston, Massachusetts, USA
    • Frankfurt, Germany
    • Istanbul, Turkey
    • Johannesburg, South Africa
    • Madrid, Spain
    • Melbourne, Australia
    • Myanmar, Asia
    • Paris, France
    • Sydney, Australia
    • Wellington, New Zealand
    • Other: please specify
  • Other (please specify) * (Text · Limit: 40 characters)
  • Please select the appropriate statement below and accept the statement of intent regarding transportation while in the training programme. * (Option list (choose one))
    • I hold a full, current UK/EEA driving licence and have access to a vehicle for work purposes
    • I hold a full, current UK/EEA driving licence but do not have access to a vehicle for work purposes
    • I hold an overseas driving licence that currently allows me to drive legally in the UK
    • I do not drive due to medical reasons
    • I do not have a full valid driving licence OR I am taking or considering taking lessons OR I do not drive

STATEMENT OF INTENTI agree that I am able to provide emergency and domiciliary care at any time during my training programme. If, for any reason, my licence ceases to be valid or I no longer have access to a vehicle, I agree to provide a vehicle or vehicle and driver at my own expense so that I may continue to fulfil this requirement unless, if I am unable to drive for medical reasons, my employer is able to make other reasonable adjustments to the job or to this requirement.

Tick box

View Application Forms