National Performers Lists Application Form Page 9
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32SECTION 2: Practice Details
17. If you are linked to a
practice/s, please provide the full
name(s) and address(es) of these
N.B. Trainees and students should
provide their training practice
details
17.1 If you are a contractor please
confirm that this is the case
18. Contact at practice(s) and
telephone number
19. Practice(s) fax number (if
available)
20. Practice(s) email address
21. Level of commitment
Please indicate the basis on which
you will be working in the
practice both NHS and private. If
you are not working full time,
please state the number of
sessions you will be working
This section is for trainees and students only
22. Date of commencement
(DD/MM/YYYY)
23. Expected end date of your
placement as a trainee
(DD/MM/YYYY)
24. Name of approved trainer
NPL1 Application Form v2 final
Page 9 of 32
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