Enrol - Greater Manchester Primary Care

Complete the form on this page to enrol on the Greater Manchester General Practice Nurse Fellowship Programme, a bespoke 2 year learning and development programme for nurses who are new to primary care.

Please note that the Fellowship Programme is for newly qualified nurses who have qualified within the last 12 months and those nurses who are new to primary care, perhaps transitioning from another nursing role, and who hold a salaried role within general practice.

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About you

Name*

First Last

Username*

Please enter a username e.g. your first and last name with no spaces

Password*

Please enter a password

Email*

Please enter your email address

Telephone*

Please enter your telephone number

Job title*

Please enter your job title

Practice name*

Please enter the name of your practice or Primary Care Network

Practice Manager name*

Please enter your Practice Manager’s name

First Last

Practice Manager email*

Please enter your Practice Manager’s email address

Practice Manager telephone*

Please enter your Practice Manager’s telephone number

Address*

Please enter your practice address

Street Address Address Line 2 City ZIP / Postal Code

Locality

Please confirm the locality where you work

NMC registration number

Please enter your NMC registration number

GPN Fellowship Programme start date*

Please enter the date when you want to start the GPN Fellowship Programme

How long have you been a registered Nurse?*

Please select from the options below

How long have you been working in Primary Care?*

Please select from the options below

Have you worked in the NHS before?*

Yes

Please indicate which parts of the NHS you have previously worked in*

Community Care

Primary Care

Secondary Care

Other

Personal data consent (GDPR)*

Please select ‘Yes’ to consent to the personal data that you have shared about yourself being held by the Greater Manchester GPN Fellowship Programme.

Yes

Do you want to receive email?*

Please select ‘Yes’ or ‘No’ to indicate whether you would like to receive email from the Greater Manchester GPN Fellowship Programme.

Yes

Name

This field is for validation purposes and should be left unchanged.