Surgical Simulation Course Application

"*" indicates required fields

Name*
For ROBuST and Basic Practical Skills courses please use the email address connected to your RCOG Account
Are you a Doctor/Internal Health Professional (ie. Nurses, AHP), LTHTr Foundation Doctor or External Candidate
If your role does not include a Grade, please state N/A
This field must be completed
If there are no courses currently available or the dates advertised are not convenient, please select to join the waiting list and you will be contacted when new dates are available.
If the date that you wish to attend is fully booked or there are no further dates available, please contact the Surgical Simulation Team.
If you are attending the RCOG Basic Practical Skills, RCOG ROBuST course, RCS Basic Surgical Skills course can you please provide your RCOG or RCS number. This number is required for registration purposes. If you are not attending one of these courses, please enter N/A.
If you require any additional support or alternative access on the day, please specify what you will need and a member of the team will contact you to discuss.
If there is any additional information that you think that we should be aware of when processing your booking, please let us know.
Payment Confirmation*
A separate payment link will be forwarded to you, in order to secure your place please make sure that your payment is made within 2 weeks of submitting your application
Privacy Notice - how we use your data*
Under the requirement in the General Data Protection Regulations (GDPR), we need to confirm that you have read and understood our privacy notice before you submit this form. You can find out how we use your data in the Privacy Notice available on our website here.
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