National Performers Lists Application Form Page 12

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SECTION 3: Professional Details (continued)
32. Please list in chronological order all your professional experience:
A period of locum work should be indicated with a statement indicating the period of locum work and the type of work
undertaken – every appointment should be listed.
Where a period of locum work has been interrupted by a permanent or semi-permanent post this should be reflected
accordingly.
Leave of absence for matters such as maternity leave or study leave whilst in a permanent post do not need to be shown
List all appointments held and if as a performer, indicate your status i.e. principal, non-principal, locum or trainee)
Post (Please indicate
Name of Organisation
Specialty
Role undertaken
Start and
Capacity
whether the post was
finish date
e.g. full
in primary or secondary
time, part
care in the NHS, private
time
or both
Example:
West Field Surgery
GP
Locum
1/4/2012 –
Full time
Primary Care - Private
1/12/13
NPL1 Application Form v2 final
Page 12 of 32

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Parent category: Business