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Details of General Practice where you undertake clinical practice<br />

Name<br />

Address<br />

Phone<br />

Hours worked per week<br />

Part 2 - Selection Criteria (Indicate how you meet the criteria)<br />

Qualifications, appointment and experience at a level to communicate authoritatively with Trainers<br />

A commitment to improving the quality of prevocational education and training<br />

An interest and willingness to develop expertise in prevocational education and training and an understanding of the<br />

importance of continuing professional development<br />

APPLICATION FORM DIRECTOR OF PREVOCATIONAL EDUCATION AND TRAINING page 4 of 7

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