Application: Form Part 2

These are the questions used in the general sections of the Oriel application form for CT1/ST1 posts in the 2026-27 recruitment round (forms checked in October 2026, posts starting from August 2027). Parts 1 and 2 were the same on all the ST1 posts checked, except Public Health Medicine, which used its own version of Part 2 (shown on its specialty application form page).

* = mandatory field. (Conditional) = only shown depending on earlier answers.

Training history / Previous training details

  • Level to which you are applying — If multiple levels are available to select, please choose the highest to which you can demonstrate eligibility. * (Drop-down)

Options not shown in preview (depend on the vacancy or an earlier answer).

This training post/programme is not normally available to any doctor who has previously relinquished or been released/removed from a training programme

  • Have you previously relinquished or been released or removed from a UK training programme in any specialty? * (Yes/No buttons)
  • If yes, please upload the Support for Reapplication to a Specialty Training Programme form. The form can be found on the specialty training website. Please note: If you are currently in a training programme, it is assumed you have had support to reapply previously and do not need to confirm this again. * (File upload (max 1 document) · Conditional)
  • Do you currently hold a National Training Number (NTN) or Deanery Reference Number (DRN) in the specialty to which you are applying and are you applying to continue your training in another area/region? * (Yes/No buttons · Conditional)
  • If yes, please upload the Support for Application to another area/region form. The form can be found on the specialty training website. * (File upload (max 1 document) · Conditional)

The information you enter on this part of the form will be passed directly to the recruiting department in the area/region or national recruiting organisation. It will not be used in assessing and scoring your application. If you are successful, the details entered in this part of the application form will then be passed to your prospective employer and/or HR department. Please note that incomplete application forms will not be considered.

Personal details

  • Do you currently hold a National Training Number (NTN) or Deanery Reference Number (DRN)? All trainees in core (with the exception of dental core), higher, specialty or locum appointment for training posts will hold either an NTN or DRN.If you are on an Out of Programme (OOP), you will still hold an NTN or DRN. * (Yes/No buttons)
  • If yes, which specialty and area/region? (Text · Conditional)
  • Specialty * (Drop-down · Conditional)
  • Area/Region * (Drop-down · Conditional)
    • Defence Medical Services
    • East Midlands
    • East of England
    • Kent, Surrey and Sussex
    • London
    • London and Kent, Surrey and Sussex
    • North East
    • North West
    • South West
    • Thames Valley
    • Wessex
    • West Midlands
    • Yorkshire and the Humber
    • Northern Ireland
    • Scotland
    • Wales
  • What is your NTN/DRN? — If you don’t know your NTN / DRN, please contact your local office / deanery who will be able to share it with you. * (Text · Conditional)
  • If you currently hold an NTN, are you applying to this specialty with the intention of pursuing dual training with your current specialty? * (Yes/No buttons · Conditional)
  • Are you a member of the Protecting Vulnerable Groups (PVG) Scheme? Please note, this will only apply to applicants who have previously worked in Scotland. (Yes/No buttons)
  • What is your membership number? (Text · Conditional)
  • Do you have a disability, learning difficulty or health condition, or are pregnant or breastfeeding and require any specific arrangements / adjustments to enable you to undertake a computer based test or assessment? Depending on the circumstance/request, you may be asked to provide medical evidence. * (Yes/No buttons · Conditional)
  • Do you require any time related* and/or non-time related adjustments to undertake a computer based test or assessment?*Breaks would fall into time related adjustments if permitted for the exam you are requesting adjustments for. * (Drop-down · Conditional)
    • Time-related
    • Other
    • Time-related and other
  • Please select relevant time adjustment from the list * (Drop-down · Conditional)

Options not shown in preview (depend on the vacancy or an earlier answer).

  • Please select relevant adjustment from the list * (Multi-select · Conditional)

Options not shown in preview (depend on the vacancy or an earlier answer).

  • If other, please provide more detail * (Text box (long answer) · Limit: 100 words · Conditional)
  • If yes, please state your diagnosis/condition/circumstance * (Text box (long answer) · Limit: 200 words · Conditional)
  • If yes, please provide details of what those specific arrangements / adjustments are. To corroborate your request, you MUST attach independent evidence of your condition and support needs (e.g. an Educational Psychologist report for Dyslexia, correspondence from a medical professional managing your condition) to your application form at time of submission. Breastfeeding mothers are advised to contact the recruitment office for further advice regarding this requirement. Please note that supplying evidence from your University Disability Support / administrative / finance team only will not be sufficient. You must supply the full report with a letterhead and signature. Please ensure all adjustments requested are stated in the evidence you have uploaded. * (Text box (long answer) · Limit: 200 words · Conditional)
  • Please specify where in the uploaded evidence the requested adjustment is recommended. * (Text · Limit: 100 words · Conditional)
  • Please upload supporting evidence ensuring that all adjustments requested to enable you to undertake a computer based test or assessment are included in the document. * (File upload (max 1 document) · Conditional)
  • Do you have a disability, learning difficulty or health condition, or are pregnant or breastfeeding and require any specific arrangements / adjustments to enable you to undertake an interview? This includes assistive technologies to support communication or processing needs. * (Yes/No buttons)
  • If yes, please state your diagnosis/condition/circumstance. * (Text box (long answer) · Limit: 200 words · Conditional)
  • If yes, please provide details of what those specific arrangements / adjustments are. To corroborate your request, you MUST attach independent evidence of your condition and support needs (e.g. an Educational Psychologist report for Dyslexia, correspondence from a medical professional managing your condition) to your application form at time of submission. Breastfeeding mothers are advised to contact the recruitment office for further advice regarding this requirement. Please note that supplying evidence from your University Disability Support / administrative / finance team only will not be sufficient. You must supply the full report with a letterhead and signature. Please ensure all adjustments requested are stated in the evidence you have uploaded * (Text box (long answer) · Limit: 200 words · Conditional)
  • Please specify where in the uploaded evidence the requested adjustment is recommended. * (Text · Limit: 100 words · Conditional)
  • Please upload supporting evidence ensuring that all adjustments requested to enable you to undertake an interview are included in the document. * (File upload (max 1 document) · Conditional)
  • If you have a disability, defined as a physical or mental impairment which has a substantial and long term effect on your ability to carry out normal day to day activities and you meet the minimum criteria as specified in the Person Specification, do you wish to be considered for an interview under the Disability Confident scheme? (Yes/No buttons)
  • Please give details * (Text box (long answer) · Limit: 100 words · Conditional)
  • Please upload any supporting evidence * (File upload (max 1 document) · Conditional)
  • Are you considering an application for less than full-time training (LTFT)? — If you are appointed to a specific programme that has been advertised as LTFT, there is no need to make a separate application to train less than full time. Please note that selecting ‘Yes’ does not result in an application for LTFT training. This must be submitted directly to the region/area appointed to. (Yes/No buttons)

This information will not be made known to the selection panel. If offered a training programme that is not advertised as LTFT, you will need to apply separately for less than full-time training via the region/area where you are offered a post. If you choose to apply for LTFT after accepting a training post your application will be considered against the national eligibility criteria for LTFT training. The recruiting region/area aims to offer support to all trainees who meet the national eligibility criteria to train LTFT; however trainees must be appointed to a Full Time programme to be able to progress their LTFT training application. For more details about LTFT training, including information about eligibility and the application process, please refer to the Less Than Full Time training web pages of your chosen region/area. (Conditional)

Professional registration

  • Do you have FULL General Medical Council (GMC) registration? * (Yes/No buttons)
  • If yes, are you registered with a license to practice? * (Yes/No buttons · Conditional)
  • Have you relinquished your GMC registration at the time of this application? * (Yes/No buttons · Conditional)
  • UK GMC reference no. * (Text · Limit: 7 characters · Conditional)

Warning: The surname entered in your application does not match the surname in the GMC list of registered practitioners for the GMC reference number you have entered. Please check this is correct before continuing. (Conditional)

Warning: The number you have entered is not found on the GMC list of registered practitioners. This maybe because you only received full registration recently but you should check the number carefully before submitting your application. (Conditional)

Warning: The number you have entered does not have an appropriate registration status. (Conditional)

  • Date of full UK GMC registration * (Date · Conditional)

You are required to have full UK GMC registration at the point of application. Applications made without full UK GMC registration will be rejected. (Conditional)

  • Are you on the UK GMC specialist register for the specialty to which you are applying? * (Yes/No buttons · Conditional)

You are not eligible to apply for this specialty. (Conditional)

  • If applying to OMFS, will you have registration with the General Dental Council (GDC) by the start date of the post to which you are applying? (Yes/No buttons · Conditional)
  • GDC reference no. (Text · Conditional)
  • Date of GDC registration (Date · Conditional)
  • Will you hold a fully registerable dental qualification by the start date of the post? (Yes/No buttons · Conditional)

Support for doctors new to the UK

  • Are you a UK medical graduate or do you have more than six months experience in the NHS (including Foundation)? * (Yes/No buttons)
  • Is this your first role within the NHS and do you feel you would benefit from support to adaptation into UK medical practice? * (Yes/No buttons · Conditional)

If yes, NHS England, HEIW, NIMDTA and PSD Scotland and other NHS organisations including Trusts / employing organisations may also provide support to help with adaptation to UK medical practice. (Conditional)

Your details may be shared with other organisations who can offer support with working in the UK. (Conditional)

  • Do you consent to your data being shared? * (Yes/No buttons · Conditional)

GMC ethical guidance workshopsThe GMC run free ethical guidance workshops for doctors who are new to the UK. The purpose is to help with adaptation to UK medical practice. If you think you would benefit from these workshops, we encourage you to visit the GMC website. (Conditional)

International Post Graduate Medical Training Scheme (IPGMTS)

  • Are you a doctor on the International Post Graduate Medical Training Scheme (IPGMTS)? * (Yes/No buttons)
  • Are you a doctor from? (Drop-down · Conditional)
    • Kingdom of Saudi Arabia
    • Kuwait
    • Other: please specify
  • Other (please specify) * (Text · Limit: 150 characters)

Language skills

  • Was your undergraduate training taught in English? * (Yes/No buttons)
  • Have your language skills been tested through the academic IELTS (International English Language Testing System) in the last 24 months and achieved at least 7.0 in each domain (speaking, listening, reading, writing), with an overall score of at least 7.5? * (Yes/No buttons · Conditional)
  • Overall score * (Drop-down · Conditional)
    • 6.0
    • 6.5
    • 7.0
    • 7.5
    • 8.0
    • 8.5
    • 9.0
    • 9.5
    • N/A
  • Listening score * (Drop-down · Conditional)
    • 6.0
    • 6.5
    • 7.0
    • 7.5
    • 8.0
    • 8.5
    • 9.0
    • 9.5
    • N/A
  • Reading score * (Drop-down · Conditional)
    • 6.0
    • 6.5
    • 7.0
    • 7.5
    • 8.0
    • 8.5
    • 9.0
    • 9.5
    • N/A
  • Writing score * (Drop-down · Conditional)
    • 6.0
    • 6.5
    • 7.0
    • 7.5
    • 8.0
    • 8.5
    • 9.0
    • 9.5
    • N/A
  • Speaking score * (Drop-down · Conditional)
    • 6.0
    • 6.5
    • 7.0
    • 7.5
    • 8.0
    • 8.5
    • 9.0
    • 9.5
    • N/A
  • Date academic IELTS taken * (Date · Conditional)
  • Have your language skills been tested through the Occupational English Test (OET)? * (Yes/No buttons · Conditional)
  • Have you worked in the UK NHS for 2 years or more? * (Yes/No buttons · Conditional)
  • Can you provide testimony from a UK consultant or supervisor relating to your English language proficiency? * (Yes/No buttons · Conditional)
  • Other - provide evidence of your English language proficiency. * (Text · Conditional)

The Applicant must have achieved as a minimum the following scores in the academic lnternational English Language Testing System (IELTS) in a single sitting within 24 months at time of application - Overall 7.5, Speaking 7.0, Listening 7.0, Reading 7.0, Writing 7.0. (Conditional)

Special circumstances

  • Do you have special circumstances that may require you to remain in a geographical area for specific caring or health reasons? * (Yes/No buttons)
  • What is your special circumstance? Please email your completed special circumstances application form and supporting evidence to the MDRS team. * (Drop-down · Conditional)
    • I am the primary carer for someone who is disabled (as defined by the Equality Act 2010)
    • I have a medical condition or disability for which ongoing follow up for the condition in a specific location is an absolute requirement
    • I am the primary carer for someone who is disabled AND I have a medical condition or disability for which ongoing follow up in a specific location is an absolute requirement
    • I am currently in the process of adopting

If you have stated that you have a special circumstance that may require you to remain in a geographical area for specific caring or health reasons, please send your completed special circumstances application form and supporting documentation by email to the MDRS team by no later than the closing date for applications. (Conditional)

  • Parental responsibility is not a special circumstances criterion for medical specialty recruitment. Do you think it should be added for future years of recruitment? * (Yes/No buttons)
  • Would you apply for special circumstances for parental responsibility if it were available? * (Yes/No buttons · Conditional)

Programme specific information

  • Do you wish to apply for a deferred start date? * (Yes/No buttons)
  • Please enter the reason * (Text box (long answer) · Limit: 100 words · Conditional)

The start of training can only be deferred on statutory grounds (e.g. parental leave, maternity leave, personal ill health). This information is used for planning information only and it will be your responsibility to formally apply to your employing region for a deferred start date if you accept an offer of a programme. (Conditional)

  • If you have stated that you would wish to defer your start date, please give the date you are available to start in post (if this is later than the advertised starting month and year of appointment). * (Date · Conditional)

Academic clinical fellowship / Clinical specialty training

  • Have you also applied for academic clinical fellowship (ACF) training in this specialty in the 2027 academic recruitment round? * (Yes/No buttons)
  • Which posts do you wish to be considered for following submission of this application? * (Drop-down · Conditional)
    • Academic Clinical Fellowship appointments only
    • Academic Clinical Fellowships and Clinical Specialty Training Programmes
  • I confirm that I understand by selecting that I wish to be considered for Academic Clinical Fellowship appointments only, in line with published guidance, I will not be considered for appointment in this round, irrespective of the final outcome of this application. * (Tick box · Conditional)

Multi Specialty Recruitment Assessment (MSRA)

  • Have you taken the Multi Specialty Recruitment Assessment (MSRA) before? * (Yes/No buttons)
  • Do you wish to use your MSRA score from a previous round? * (Yes/No buttons · Conditional)
  • Do you wish to self-elect to resit the MSRA? — Please note: Applicants sitting the MSRA for the first time will be prioritised. Resits will only be permitted where test centre capacity allows for it. * (Yes/No buttons · Conditional)
  • I understand that if my previous MSRA score is above the minimum tolerance and I do not self-elect to resit, my previous MSRA score will be transferred. * (Tick box · Conditional)
  • I understand that if my previous MSRA score is below the minimum tolerance, that I will be required to resit the MSRA. * (Tick box · Conditional)
  • I understand that the score I receive in the resit will supersede the score from the previous MSRA even if the score is lower. * (Tick box · Conditional)

Transfer of scores

If you have answered yes to self-elect to resit the MSRA in the question set above, choosing to transfer your whole recruitment score will override this option and you will not be entered in to resit the MSRA. (Conditional)

  • Do you wish to carry over scores from a successful application to this specialty that you have previously submitted? (Yes/No buttons)
  • Please select the application you wish to carry scores from. * (Drop-down · Conditional)

Options not shown in preview (depend on the vacancy or an earlier answer).

  • I understand that a previously successful application may be considered unsuccessful in a future recruitment round, if the essential eligibility criteria has not been met or, if there is a change in the threshold for success which would result in the previous application being below the new threshold (where MSRA is required, this would require a resit). * (Tick box · Conditional)

References information

You should contact your clinical referees in advance to confirm that they are willing to provide a reference and are available and able to do so in the time period required for selection and appointment. Please ensure they provide you with their preferred email address. This will be the email address that will be used when requesting references. Your future employer may need to request an employment reference from your medical/dental school if you graduated less than three years ago. This information will not be requested until after you have been made a conditional offer of employment.

Employment or training post 1

  • Post specialty * (Text · Limit: 150 characters)
  • Post grade * (Text · Limit: 50 characters)
  • Start date * (Date)
  • End date * (Date)
  • Referee title * (Drop-down)
    • Dr
    • Miss
    • Mr
    • Mrs
    • Ms
    • Professor
    • Mx
  • Referee forename * (Text · Limit: 127 characters)
  • Referee surname * (Text · Limit: 127 characters)
  • Job title of referee * (Text · Limit: 150 characters)
  • What was their role in relation to you (e.g. Consultant, manager)? * (Text · Limit: 150 characters)
  • Contact email address * (Text · Limit: 255 characters)
  • Please ensure you enter a valid email address as your referee may be asked to submit an online reference in support of your application. (Text)
  • Confirm referee email address * (Text)
  • GMC/GDC registration no. (Text)
  • Contact phone number (Text)

Employment or training post 2

  • Post specialty * (Text · Limit: 150 characters)
  • Post grade * (Text · Limit: 50 characters)
  • Start date * (Date)
  • End date * (Date)
  • Referee title * (Drop-down)
    • Dr
    • Miss
    • Mr
    • Mrs
    • Ms
    • Professor
    • Mx
  • Referee forename * (Text · Limit: 127 characters)
  • Referee surname * (Text · Limit: 127 characters)
  • Job title of referee * (Text · Limit: 150 characters)
  • What was their role in relation to you (e.g. Consultant, manager)? * (Text · Limit: 150 characters)
  • Contact email address * (Text · Limit: 255 characters)
  • Please ensure you enter a valid email address as your referee may be asked to submit an online reference in support of your application. (Text)
  • Confirm referee email address * (Text)
  • GMC/GDC registration no. (Text)
  • Contact phone number (Text)

Employment or training post 3

  • Post specialty * (Text · Limit: 150 characters)
  • Post grade * (Text · Limit: 50 characters)
  • Start date * (Date)
  • End date * (Date)
  • Referee title * (Drop-down)
    • Dr
    • Miss
    • Mr
    • Mrs
    • Ms
    • Professor
    • Mx
  • Referee forename * (Text · Limit: 127 characters)
  • Referee surname * (Text · Limit: 127 characters)
  • Job title of referee * (Text · Limit: 150 characters)
  • What was their role in relation to you (e.g. Consultant, manager)? * (Text · Limit: 150 characters)
  • Contact email address * (Text · Limit: 255 characters)
  • Please ensure you enter a valid email address as your referee may be asked to submit an online reference in support of your application. (Text)
  • Confirm referee email address * (Text)
  • GMC/GDC registration no. (Text)
  • Contact phone number (Text)
  • Post specialty * (Text · Limit: 150 characters)
  • Post grade * (Text · Limit: 50 characters)
  • Start date * (Date)
  • End date * (Date)
  • Consultant or supervisor title * (Drop-down)
    • Dr
    • Miss
    • Mr
    • Mrs
    • Ms
    • Professor
    • Mx
  • Consultant or supervisor forename * (Text · Limit: 127 characters)
  • Consultant or supervisor surname * (Text · Limit: 127 characters)
  • What was their role in relation to you (e.g. Consultant)? * (Text · Limit: 150 characters)
  • Contact email address * (Text · Limit: 255 characters)
  • Please ensure you enter a valid email address as your referee may be asked to submit an online reference in support of your application. (Text)
  • Confirm referee email address * (Text)
  • GMC registration no. (Text)
  • Contact phone number (Text)

Data Protection Act 2018

The information that you provide in this Declaration Form will be processed in accordance with the Data Protection Act 2018. It will be used for the purpose of determining your application for this position. It will also be used for purposes of enquiries in relation to the prevention and detection of fraud in the interest of patient safety. This Declaration Form and any information provided relating to a positive declaration will be kept securely and in confidence, and access to it will be restricted to designated persons within the recruiting organisation and other persons who need to see it as part of the selection process and who are authorised to do so. If successfully appointed to a training post, this information may be passed to designated persons in your first or lead employing organisation and any organisations through which you rotate.

Fitness to practise

  • 1. Are you currently bound over, or do you have any convictions or cautions (including warnings and reprimands) which are not deemed ‘protected’ under the amendment to the Exceptions Order 1975, issued by a Court or Court-Martial in the United Kingdom or in any other country? You do not need to tell us about parking offences, or fixed penalty notices but other driving offences must be declared. * (Yes/No buttons)
  • 2. Have you been charged with any offence in the United Kingdom or in any other country that has not yet been disposed of? * (Yes/No buttons)

Please note: You are reminded that you have a continuing responsibility to declare any new criminal convictions, police investigations or fitness to practise proceedings that arise after application submission. Where recruitment is ongoing, you should inform the recruitment office. After an offer has been made, you should notify the appointing region. Once in a training post or programme, you should inform your employer(s) and the Postgraduate Dean. You do not need to tell us about parking offences, or fixed penalty notices but other driving offences must be declared.

  • 3. Are you aware of any current NHS Counter Fraud and Security Management Service (CFSMS) investigation following allegations made against you? * (Yes/No buttons)
  • 4. Have you been investigated by the Police, NHS CFSMS or any other Investigatory Body resulting in a current conviction or dismissal from your employment or volunteering position? * (Yes/No buttons)

Investigatory bodies include: Local Authorities, Customs and Excise, Immigration, Passport Agency, Inland Revenue, Department of Business, Innovation and Skills, Department of Work and Pensions, Security Agencies, Financial Service Authority, or any successor bodies to the above. Note: This list is not exhaustive and you must declare any investigation conducted by an Investigatory Body.

  • 5. Have you ever been dismissed by reason of misconduct from any employment, volunteering, office or other position previously held by you? * (Yes/No buttons)
  • 6. Have you ever been disqualified from the practice of a profession or required to practise subject to specified limitations / conditions / warnings following fitness to practise proceedings by a regulatory or licensing body in the United Kingdom or in any other country? * (Yes/No buttons)
  • 7. Are you currently the subject of any investigation or fitness to practise proceeding by any licensing or regulatory body in the United Kingdom or any other country? * (Yes/No buttons)
  • 8. Are you subject to any other prohibition, limitation, or restriction that means we are unable to consider you for any position for which you are applying? * (Yes/No buttons)
  • 9. Do you know of any other matters in your background which might cause your reliability or suitability for employment to be called into question? * (Yes/No buttons)

If you answer “YES” to any of the questions, you will need to complete the FTP declaration form found on the national specialty training website. Please submit this form via e-mail to the lead recruiter’s confidential fitness to practise e-mail address (details can be found on the recruitment leads page). Please mark the email “CONFIDENTIAL”. Emails should be received by no later than the submission deadline for applications. A list of FTP email addresses is available on the national specialty training website. They can also be found on the Recruitment Leads page on Oriel for each Recruitment Office.

Confirmation of eligibility form

  • I can confirm that I am able to upload and attach to this application, the Confirmation of Eligibility Form that has been completed and signed by the named Deanery/NHS England local office contact. * (Table/grid)
  • You MUST upload and attach a copy of your completed and signed Confirmation of Eligibility Form to this application. Please upload this document here * (File upload)

Achievement of foundation competences: CT/ST1 & public health (medical)

  • Are you currently in the second year of a UK affiliated Foundation Programme which finishes before the advertised post start date for this vacancy? You should answer NO if you have already completed a UK affiliated Foundation Programme. * (Yes/No buttons)
  • Do you already hold a Foundation Programme Certificate of Completion Document (FPCC) from a UK affiliated Foundation School completed within three and a half years of the advertised start date? The stated time restriction does not apply to applications for Oral and Maxillofacial Surgery. * (Yes/No buttons · Conditional)
  • Please provide the date you completed your foundation training * (Date · Conditional)

The date on your FPCC is more than three and a half years before the advertised start date for this vacancy, you will need to provide a CREST document instead. (Conditional)

  • Which UK affiliated Foundation School? * (Drop-down · Conditional)
    • East of England Foundation School
    • Kent, Surrey and Sussex Foundation School
    • Leicestershire, Northampton, Rutland (LNR) Foundation School
    • London Foundation School
    • North London Foundation School
    • North West of England Foundation School
    • Northern Foundation School
    • Northern Ireland Foundation School
    • Oxford Foundation School
    • Peninsula Foundation School
    • Scotland Foundation School
    • Severn Foundation School
    • South Thames Foundation School
    • Trent Foundation School
    • Wales Foundation School
    • Wessex Foundation School
    • West Midlands Central Foundation School
    • West Midlands North Foundation School
    • West Midlands South Foundation School
    • Yorkshire and Humber Foundation School
    • Other: please specify
  • Other (please specify) * (Text · Limit: 50 characters)

You meet this requirement and your application will be considered on this basis. You MUST attach a copy of your FPCC to your application form by time of submission. (Conditional)

  • Please upload your FPCC * (File upload (max 1 document) · Conditional)
  • Have you ever been removed or resigned from the foundation programme and do not hold an FPCC? * (Yes/No buttons · Conditional)
  • Applicants who have started but who have not satisfactorily completed a 2 year UK Foundation Programme or a standalone UK Foundation Year 2 post can provide a letter written and signed by the Postgraduate Dean where the previous training took place. This letter must use the standard proforma available from the specialty training website. Are you able to attach the Postgraduate Dean’s support to your application? * (Yes/No buttons · Conditional)

If you are unable to provide support from the Postgraduate Dean or currently do not hold a National Training Number (NTN) or Deanery Reference Number (DRN), your application cannot progress. (Conditional)

  • Please upload Postgraduate Dean’s support form * (File upload (max 1 document) · Conditional)
  • Are you currently working in a UK educationally approved training post (CT/ST/LAT) in active clinical or clinical and academic practice, where attainment of UK foundation competences was assessed on appointment? All trainees in core, higher, specialty or locum appointment for training posts will hold either an NTN or a DRN. * (Yes/No buttons · Conditional)
  • Have you previously held a training post in the specialty to which you are applying? * (Yes/No buttons · Conditional)
  • Please upload your most recent ARCP outcome * (File upload (max 1 document) · Conditional)

If you are not currently in a UK affiliated foundation programme, do not hold an FPCC and are not currently employed in a specialty training programme you should review the eligibility section of the applicant guidance on your eligibility to apply for this training programme.If you are working as a GP or Consultant following CCT you will need to submit a CREST. (Conditional)

  • Are you able to provide a support for re-application to a specialty training programme form and evidence of satisfactory progress in the form of successful ARCP outcomes for the duration of your training in this specialty? * (Yes/No buttons · Conditional)
  • Are you able to attach a Certificate of Readiness to Enter Specialty Training to your application? If demonstrating your foundation competency using the Certificate of Readiness to Enter Specialty Training, all applicants are required to attach this evidence prior to submission. It is important that you use the correct version of the form and ensure that the document is completed correctly with all information provided. Please refer to the Applicant Guide for advice on uploading documents. Applications made without properly completed certification will normally be rejected. * (Yes/No buttons · Conditional)
  • Are you able to attach a Certificate of Readiness to Enter Specialty Training to your application? — If demonstrating your foundation competency using the Certificate of Readiness to Enter Specialty Training, all applicants are required to attach this evidence prior to submission. It is important that you use the correct version of the form and ensure that the document is completed correctly with all the information provided. Please refer to the Applicant Guidance for advice on uploading documents. Applications made without properly completed certification will normally be rejected. * (Yes/No buttons · Conditional)

As you have confirmed that you are able to evidence satisfactory progress in the form of successful ARCP outcomes for the duration of your training in this specialty, you will not be asked to upload a CREST. If it later becomes apparent that this is incorrect and you do need to submit a CREST, there will not be an opportunity to submit one at a later date. Please ensure you read the applicant guidance to confirm you are answering the competence questions correctly before you submit your application. You can find guidance on the specialty training website. (Conditional)

  • Will you be entering this post directly from a UK foundation or training programme post, or with a gap of less than 3 months? * (Yes/No buttons)

CREST Document Upload

  • Please upload a CREST form * (File upload (max 1 document))

Achievement of core/specialty competences: CT/ST2

  • Have you previously completed UK foundation training? * (Yes/No buttons)
  • If so, which UK affiliated Foundation School? * (Drop-down · Conditional)
    • East of England Foundation School
    • Kent, Surrey and Sussex Foundation School
    • Leicestershire, Northampton, Rutland (LNR) Foundation School
    • London Foundation School
    • North London Foundation School
    • North West of England Foundation School
    • Northern Foundation School
    • Northern Ireland Foundation School
    • Oxford Foundation School
    • Peninsula Foundation School
    • Scotland Foundation School
    • Severn Foundation School
    • South Thames Foundation School
    • Trent Foundation School
    • Wales Foundation School
    • Wessex Foundation School
    • West Midlands Central Foundation School
    • West Midlands North Foundation School
    • West Midlands South Foundation School
    • Yorkshire and Humber Foundation School
    • Other: please specify
  • Other please specify * (Text · Limit: 50 characters)
  • Are you currently on a UK core/specialty training programme, and expect to gain a satisfactory ARCP outcome for CT/ST1 by the advertised post start date for this vacancy?* * Answer No for posts where you do not hold an NTN or DRN. * (Yes/No buttons)
  • In which area are you currently undertaking core/specialty training? — You meet this requirement and your application will be considered on this basis. You do not need to provide any evidence at this stage. If the information is false or misleading, your application may be disqualified. Any offer of a core /specialty training programme will be conditional upon you achieving a satisfactory ARCP outcome for CT/ST1 by the start date of the post to which you are applying. If appointed, evidence of your satisfactory ARCP outcome for CT/ST1 must be produced to your new trust / employer. If you do not achieve a satisfactory outcome you must inform the Trust / employer and Postgraduate Training Office immediately * (Drop-down · Conditional)
    • Defence Medical Services
    • East Midlands
    • East of England
    • Kent, Surrey and Sussex
    • London
    • London and Kent, Surrey and Sussex
    • North East
    • North West
    • South West
    • Thames Valley
    • Wessex
    • West Midlands
    • Yorkshire and the Humber
    • Northern Ireland
    • Scotland
    • Wales
  • When does your training record state that you are currently due to complete your training to the required level? (insert month and year). You cannot apply on the basis of prospectively bringing forward your core completion date, which can only be changed via the ARCP process. * (Date · Conditional)
  • Have you already completed CT1/ST1 with a satisfactory ARCP outcome in the UK?* * Answer No for posts that you do not hold an NTN or DRN. * (Yes/No buttons · Conditional)
  • In which area did you undertake core/specialty training? * (Drop-down · Conditional)
    • Defence Medical Services
    • East Midlands
    • East of England
    • Kent, Surrey and Sussex
    • London
    • London and Kent, Surrey and Sussex
    • North East
    • North West
    • South West
    • Thames Valley
    • Wessex
    • West Midlands
    • Yorkshire and the Humber
    • Northern Ireland
    • Scotland
    • Wales
  • When did you complete your training to the required level? (insert month and year). * (Date · Conditional)
  • Please upload ARCP showing satisfactory outcome * (File upload (max 1 document) · Conditional)

You have answered NO to the questions above. You are therefore required to show that your previous experience meets the eligibility criteria for this core/specialty training programme. You must have the required experience, as stated in the person specification (excluding clinical attachments) in the relevant specialty posts (in the UK or abroad) undertaken since Foundation competences by the start date of the post to which you are applying. (Conditional)

  • Are you able to attach the specified alternative competency documentation to your application? * (Yes/No buttons · Conditional)
  • Are you able to attach the appropriate specialty specific alternative competency documentation by the deadline date of ? CREST ONApplications made without properly completed documentation will normally be rejected. Please refer to the person specification and specialty specific guidance. However, applicants with special circumstances, such as refugees, who are unable to provide documentation at time of application can explain their circumstances in the space provided; although they will be required to demonstrate their competence before being able to take up any future offer of a training programme.To submit a competency document post submission, please click on the ‘Applications’ tab, then select the relevant application. Above the progress tracker, there will be a button that reads ‘submit competency document’ if the deadline has not passed. From here, you will be able to upload competency documentation. * (Yes/No buttons · Conditional)
  • Please upload your specified alternative competency documentation * (File upload (max 1 document) · Conditional)
  • Are you able to attach the specified alternative competency documentation to your application? Applications made without properly completed documentation will normally be rejected. Please refer to the person specification and applicant guidance for this specialty . However, candidates with special circumstances, such as refugees, who are unable to provide documentation at time of application can explain their circumstances in the space provided; although they will be required to demonstrate their competence before being able to take up any future offer of a training programme. * (Yes/No buttons · Conditional)
  • Please upload your completed specified alternative competency documentation * (File upload (max 1 document) · Conditional)
  • If you are unable to provide the documentation as described above (e.g. because you are a refugee) but you believe you have achieved core/specialty competence at the required level please describe why you believe you meet the eligibility criteria for this specialty and why you are unable to provide standard documentation. * (Text box (long answer) · Limit: 100 words · Conditional)

Career progression for CT/ST2 applications

  • Will you have completed the required whole time equivalent experience, as detailed in the person specification, in this specialty or relevant specialties* by the commencement date for the post you are applying for? Observer and foundations posts do not count. * (Yes/No buttons)

*Refer to the Person Specification for more information on career progression

Achievement of core competences: CT3

  • Have you previously completed UK foundation training? * (Yes/No buttons)
  • If so, which UK affiliated Foundation School? * (Drop-down · Conditional)
    • East of England Foundation School
    • Kent, Surrey and Sussex Foundation School
    • Leicestershire, Northampton, Rutland (LNR) Foundation School
    • London Foundation School
    • North London Foundation School
    • North West of England Foundation School
    • Northern Foundation School
    • Northern Ireland Foundation School
    • Oxford Foundation School
    • Peninsula Foundation School
    • Scotland Foundation School
    • Severn Foundation School
    • South Thames Foundation School
    • Trent Foundation School
    • Wales Foundation School
    • Wessex Foundation School
    • West Midlands Central Foundation School
    • West Midlands North Foundation School
    • West Midlands South Foundation School
    • Yorkshire and Humber Foundation School
    • Other: please specify
  • Other please specify * (Text · Limit: 50 characters)
  • Are you currently on a UK core/specialty training programme, and expect to gain a satisfactory ARCP outcome for CT/ST2 by the advertised post start date for this vacancy?* * Answer No for posts where you do not hold an NTN / DRN * (Yes/No buttons)
  • In which area are you currently undertaking core/specialty training? — You meet this requirement and your application will be considered on this basis. You do not need to provide any evidence at this stage. If the information is false or misleading, your application maybe disqualified. Any offer of a core /specialty training programme will be conditional upon you achieving a satisfactory ARCP outcome for CT2 by the advertised post start date for this vacancy. If appointed, evidence of your satisfactory ARCP outcome for CT2 must be produced to your new trust/employer. If you do not achieve a satisfactory outcome you must inform the Trust/employer AND Postgraduate Training Office immediately. * (Drop-down · Conditional)
    • Defence Medical Services
    • East Midlands
    • East of England
    • Kent, Surrey and Sussex
    • London
    • London and Kent, Surrey and Sussex
    • North East
    • North West
    • South West
    • Thames Valley
    • Wessex
    • West Midlands
    • Yorkshire and the Humber
    • Northern Ireland
    • Scotland
    • Wales
  • When does your training record state that you are currently due to complete your training to the required level? (insert month and year). You cannot apply on the basis of prospectively bringing forward your core completion date, which can only be changed via the ARCP process. * (Date · Conditional)
  • Have you already completed CT2/ST2 with a satisfactory ARCP outcome in the UK?* * Answer No for posts where you do not hold an NTN / DRN * (Yes/No buttons · Conditional)
  • In which area did you undertake core/specialty training? * (Drop-down · Conditional)
    • Defence Medical Services
    • East Midlands
    • East of England
    • Kent, Surrey and Sussex
    • London
    • London and Kent, Surrey and Sussex
    • North East
    • North West
    • South West
    • Thames Valley
    • Wessex
    • West Midlands
    • Yorkshire and the Humber
    • Northern Ireland
    • Scotland
    • Wales
  • When did you complete your training to the required level? (insert month and year). * (Date · Conditional)
  • Please upload an ARCP showing satisfactory outcome * (File upload · Conditional)

You have answered NO to the questions above. You are therefore required to show that your previous experience meets the eligibility criteria for this core/specialty training programme. You must have the required experience, as stated in the person specification (excluding clinical attachments) in the relevant specialty posts (in the UK or abroad) undertaken since Foundation competences by the start date of the post to which you are applying. (Conditional)

  • Are you able to attach the specified alternative competency documentation to your application? — Please refer to the person specification and specialty specific guidance. * (Yes/No buttons · Conditional)
  • Are you able to attach the appropriate specialty specific alternative competency documentation by the deadline date of ? Applications made without properly completed documentation will normally be rejected. Please refer to the person specification and specialty specific guidance. However, applicants with special circumstances, such as refugees, who are unable to provide documentation at time of application can explain their circumstances in the space provided; although they will be required to demonstrate their competence before being able to take up any future offer of a training programme.To submit a competency document post submission, please click on the ‘Applications’ tab, then select the relevant application. Above the progress tracker, there will be a button that reads ‘submit competency document’ if the deadline has not passed. From here, you will be able to upload competency documentation. * (Yes/No buttons · Conditional)
  • Please upload your specified alternative competency documentation * (File upload (max 1 document) · Conditional)
  • Are you able to attach the appropriate specialty specific alternative competency documentation to your application? — Applications made without properly completed documentation will normally be rejected. Please refer to the person specification and specialty specific guidance. However, applicants with special circumstances, such as refugees, who are unable to provide documentation at time of application can explain their circumstances in the space provided; although they will be required to demonstrate their competence before being able to take up any future offer of a training programme. * (Yes/No buttons · Conditional)
  • Please upload your completed specified alternative competence documentation * (File upload (max 1 document) · Conditional)
  • If you are unable to provide the documentation as described above (e.g. because you are a refugee) but you believe you have achieved core/specialty competence at the required level please describe why you believe you meet the eligibility criteria for this specialty and why you are unable to provide standard documentation. * (Text box (long answer) · Limit: 100 words · Conditional)

Achievement of core/specialty competences: ST3

  • Have you previously completed UK foundation training? * (Yes/No buttons)
  • If so, which UK affiliated Foundation School? * (Drop-down · Conditional)
    • East of England Foundation School
    • Kent, Surrey and Sussex Foundation School
    • Leicestershire, Northampton, Rutland (LNR) Foundation School
    • London Foundation School
    • North London Foundation School
    • North West of England Foundation School
    • Northern Foundation School
    • Northern Ireland Foundation School
    • Oxford Foundation School
    • Peninsula Foundation School
    • Scotland Foundation School
    • Severn Foundation School
    • South Thames Foundation School
    • Trent Foundation School
    • Wales Foundation School
    • Wessex Foundation School
    • West Midlands Central Foundation School
    • West Midlands North Foundation School
    • West Midlands South Foundation School
    • Yorkshire and Humber Foundation School
    • Other: please specify
  • Other please specify * (Text · Limit: 50 characters)
  • Are you currently on a UK core/specialty training programme, specified as a designated entry pathway for the specialty to which you are applying and expect to gain all required competences and be issued with a satisfactory ARCP outcome before the advertised post start date for this vacancy? * * Answer NO for posts where you do not hold and NTN / DRN * (Yes/No buttons)
  • In which area are you currently undertaking core/specialty training? — You meet this requirement and your application will be considered on this basis. You do not need to provide any evidence at this stage. If the information is false or misleading, your application may be disqualified. Any offer of a specialty training programme will be conditional upon you achieving a satisfactory ARCP outcome at the level required on the person specification by the advertised post start date for this vacancy. If appointed, evidence of your satisfactory ARCP outcome for CT/ST2 must be produced to your new trust/employer before your employment can be confirmed. If you do not achieve a satisfactory outcome you must inform the Trust/employer and Postgraduate Training Office immediately. * (Drop-down · Conditional)
    • Defence Medical Services
    • East Midlands
    • East of England
    • Kent, Surrey and Sussex
    • London
    • London and Kent, Surrey and Sussex
    • North East
    • North West
    • South West
    • Thames Valley
    • Wessex
    • West Midlands
    • Yorkshire and the Humber
    • Northern Ireland
    • Scotland
    • Wales
  • When does your training record state that you are currently due to complete your training to the required level? (insert month and year). You cannot apply on the basis of prospectively bringing forward your core completion date, which can only be changed via the ARCP process. If this is later than the advertised post start date, you are not eligible to be considered for this vacancy. * (Date · Conditional)
  • Have you already achieved full competence in the UK core/specialty training programme to the level detailed in the person specification, evidenced by satisfactory ARCP outcomes?* *Please note that if the person specification specifies a date for when an ARCP outcome is still accepted as evidence of competence, and your ARCP is dated prior to this, you should answer ‘No’ to this question. * (Yes/No buttons · Conditional)
  • When did you complete your training to the required level? (insert month and year). * (Date · Conditional)
  • In which area did you complete your training to the required level and gain a satisfactory ARCP? — You meet this requirement and your application will be considered on this basis. * (Drop-down · Conditional)
    • Defence Medical Services
    • East Midlands
    • East of England
    • Kent, Surrey and Sussex
    • London
    • London and Kent, Surrey and Sussex
    • North East
    • North West
    • South West
    • Thames Valley
    • Wessex
    • West Midlands
    • Yorkshire and the Humber
    • Northern Ireland
    • Scotland
    • Wales
  • You MUST attach your ARCP documents to your application form to demonstrate core/specialty competences All applicants are required to attach this evidence prior to submission. Please upload your document here. Applications made without properly completed certification will normally be rejected. Please refer to the Applicant guide for advice on uploading documents. * (File upload · Conditional)

If you have answered NO to the questions above, you are required to show that your previous experience meets the eligibility criteria for this specialty/academic training programme. You must have (or expect to have by the advertised post start date) an appropriate amount of experience in the relevant specialty, as detailed in the person specification (in the UK or abroad) undertaken since Foundation training, or since acquisition of Foundation competences. Time spent in clinical attachments / observer posts does not count. (Conditional)

  • Are you able to attach the specified alternative competency documentation to your application? * (Yes/No buttons · Conditional)
  • Are you able to attach your appropriate specialty specific alternative competency documentation by the deadline date of ? — Applications made without properly completed documentation will normally be rejected. Please refer to the person specification and specialty specific guidance for this specialty. However, applicants with special circumstances, such as refugees, who are unable to provide documentation at time of application can explain their circumstances in the space provided; although they will be required to demonstrate their competence before being able to take up any future offer of a training programme.To submit a competency document post submission, please click on the ‘Applications’ tab, then select the relevant application. Above the progress tracker, there will be a button that reads ‘submit competency document’ if the deadline has not passed. From here, you will be able to upload competency documentation. * (Yes/No buttons · Conditional)
  • Please upload your specified alternative competency documentation * (File upload (max 1 document) · Conditional)
  • Are you able to attach your specified alternative competency documentation to your application? Applications made without properly completed documentation will normally be rejected. Please refer to the person specification and applicant guidance for this specialty. However, applicants with special circumstances, such as refugees, who are unable to provide documentation at time of application can explain their circumstances in the space provided; although they will be required to demonstrate their competence before being able to take up any future offer of a training programme. * (Yes/No buttons · Conditional)
  • Please upload your completed specified alternative competency documentation * (File upload (max 1 document) · Conditional)
  • In most cases it is not permissible to apply without a specified form of evidence of competence. However, if you are unable to provide the documentation as described above (e.g. because you are a refugee) but you believe you have achieved core/specialty competence at the required level please describe why you believe you meet the eligibility criteria for this specialty and why you are unable to provide standard documentation. * (Text box (long answer) · Limit: 100 words · Conditional)

Career progression for CT3 applications

  • Will you have completed the required whole time equivalent experience, as detailed in the person specification, in this specialty or relevant specialties* by the advertised post start date for this vacancy? — Observer and foundation posts do not count. * (Yes/No buttons)

*Refer to the Person Specification for more information on career progression

Career progression for ST3 applications

  • Will you have completed the required whole time equivalent experience, as detailed in the person specification, in this specialty or relevant specialties* by the advertised post start date for this vacancy? Observer and foundation posts do not count. * (Yes/No buttons)

*Refer to the Person Specification for more information on career progression

ST3 entry qualifications

  • Do you expect to achieve all the necessary entry qualifications (exams, diplomas etc.) as specified in the person specification by the time specified? * (Yes/No buttons)

Achievement of core/specialty competences: ST4

  • Have you previously completed UK foundation training? * (Yes/No buttons)
  • If so, which UK affiliated Foundation School? * (Drop-down · Conditional)
    • East of England Foundation School
    • Kent, Surrey and Sussex Foundation School
    • Leicestershire, Northampton, Rutland (LNR) Foundation School
    • London Foundation School
    • North London Foundation School
    • North West of England Foundation School
    • Northern Foundation School
    • Northern Ireland Foundation School
    • Oxford Foundation School
    • Peninsula Foundation School
    • Scotland Foundation School
    • Severn Foundation School
    • South Thames Foundation School
    • Trent Foundation School
    • Wales Foundation School
    • Wessex Foundation School
    • West Midlands Central Foundation School
    • West Midlands North Foundation School
    • West Midlands South Foundation School
    • Yorkshire and Humber Foundation School
    • Other: please specify
  • Other please specify * (Text · Limit: 50 characters)
  • Are you currently on a UK Core/Specialty Training Programme, expect to gain all CT/ST3 competences and be issued with a satisfactory ARCP outcome before the advertised post start date for this vacancy? * * Answer NO for posts where you do not hold an NTN/DRN * (Yes/No buttons)
  • In which area are you currently undertaking core/specialty training? — You meet this requirement and your application will be considered on this basis. You do not need to provide any evidence at this stage. If the information is false or misleading, your application may be disqualified. Any offer of a specialty training programme will be conditional upon you achieving a satisfactory ARCP outcome by the advertised post start date for this vacancy. If appointed, evidence of your satisfactory ARCP outcome must be produced to your new trust / employer. If you do not achieve a satisfactory outcome you must inform the Trust / employer and Postgraduate Training Office immediately. * (Drop-down · Conditional)
    • Defence Medical Services
    • East Midlands
    • East of England
    • Kent, Surrey and Sussex
    • London
    • London and Kent, Surrey and Sussex
    • North East
    • North West
    • South West
    • Thames Valley
    • Wessex
    • West Midlands
    • Yorkshire and the Humber
    • Northern Ireland
    • Scotland
    • Wales
  • When does your training record state that you are currently due to complete your training to the required level? (insert month and year). You cannot apply on the basis of prospectively bringing forward your core completion date, which can only be changed via the ARCP process. If this is later than the advertised post start date, you are not eligible to be considered for this vacancy. * (Date · Conditional)
  • Have you already achieved full competence evidenced by satisfactory ARCP outcomes for your CT/ST3 year of training in the UK? * (Yes/No buttons · Conditional)
  • When did you complete your training to the required level? (insert month and year). * (Date · Conditional)
  • In which area did you complete your CT/ST3 training and gain a satisfactory ARCP? * (Drop-down · Conditional)
    • Defence Medical Services
    • East Midlands
    • East of England
    • Kent, Surrey and Sussex
    • London
    • London and Kent, Surrey and Sussex
    • North East
    • North West
    • South West
    • Thames Valley
    • Wessex
    • West Midlands
    • Yorkshire and the Humber
    • Northern Ireland
    • Scotland
    • Wales
  • You MUST attach your ARCP documents to your application form to demonstrate core/specialty competences All applicants are required to attach this evidence prior to submission. Please upload your document here. Applications made without properly completed certification will normally be rejected. Please refer to the Applicant Guide for advice on uploading documents. * (File upload · Conditional)

If you have answered NO to the questions above, you are required to show that your previous experience meets the eligibility criteria for this specialty/academic training programme. You must have (or expect to have by the advertised post start date) an appropriate amount of experience in the relevant specialty, as detailed in the person specification (in the UK or abroad) undertaken since Foundation training, or since acquisition of Foundation competences. Time spent in clinical attachments / observer posts does not count. (Conditional)

  • Are you able to attach the specified alternative competency documentation to your application? * (Yes/No buttons · Conditional)
  • Are you able to attach the appropriate specialty specific alternative competency documentation by the deadline date of ? You are required to attach this evidence prior to deadline date of . Applications made without properly completed documentation will normally be rejected. Please refer to the person specification and specialty specific guidance. However, applicants with special circumstances, such as refugees, who are unable to provide documentation at time of application can explain their circumstances in the space provided; although they will be required to demonstrate their competence before being able to take up any future offer of a training programme. To submit a competency document post submission, please click on the ‘Applications’ tab, then select the relevant application. Above the progress tracker, there will be a button that reads ‘submit competency document’ if the deadline has not passed. From here, you will be able to upload competency documentation. * (Yes/No buttons · Conditional)
  • Please upload your specified alternative competency documentation * (File upload (max 1 document) · Conditional)
  • Are you able to attach the appropriate specialty specific alternative competency documentation to your application? — Applications made without properly completed documentation will normally be rejected. Please refer to the person specification and specialty specific guidance. However, applicants with special circumstances, such as refugees, who are unable to provide documentation at time of application can explain their circumstances in the space provided; although they will be required to demonstrate their competence before being able to take up any future offer of a training programme. * (Yes/No buttons · Conditional)
  • Please upload your completed specified alternative competency documentation * (File upload (max 1 document) · Conditional)
  • In most cases it is not permissible to apply without a specified form of evidence of competence. However, if you are unable to provide the documentation as described above (e.g. because you are a refugee) but you believe you have achieved core/specialty competence at the required level please describe why you believe you meet the eligibility criteria for this specialty and why you are unable to provide standard documentation. * (Text box (long answer) · Limit: 100 words · Conditional)

Career progression for ST4 applications

  • Will you have completed the required whole time equivalent experience, as detailed in the person specification, in this specialty or relevant specialties* by the advertised post start date for this vacancy? Observer and foundation posts do not count. * (Yes/No buttons)

*Refer to the Person Specification for more information on career progression

ST4 only - entry requirements

  • Do you expect to achieve all the necessary entry qualifications (exams, diplomas etc.) as specified in the person specification by the time specified? * (Yes/No buttons)

Entry qualification

  • Please give details of your primary medical qualification (Text)
  • Qualification * (Drop-down)
    • Bachelor of Medicine, Bachelor of Surgery (BMBS)
    • BC, BCh Bachelor of Surgery
    • BChir Bachelor of Surgery
    • BM Bachelor of Medicine
    • BM BCh Bachelor of Medicine, Bachelor of Surgery
    • BS Bachelor of Surgery
    • ChB Bachelor of Surgery
    • LCPS Licentiate College of Physicians & Surgeons
    • LMS Licentiate of Medicine & Surgery
    • LMSSA Licentiate in Medicine & Surgery - Society of Apothecaries London
    • LRCP Licentiate Royal College of Physicians
    • LRCPI Licentiate Royal College of Physicians of Ireland
    • LRCPS Licentiate Royal College of Physicians & Surgeons
    • LRCS Licentiate Royal College of Surgeons
    • LRCSI Licentiate Royal College of Surgeons of Ireland
    • LSA Licentiate Society of Apothecaries London
    • MBBCh Bachelor of Medicine and Bachelor of Surgery
    • MBBS Bachelor of Medicine and Bachelor of Surgery
    • MBChB Bachelor of Medicine and Bachelor of Surgery
    • MD Doctor of Medicine
    • Other: please specify
  • If other please enter qualification * (Text · Limit: 50 characters)
  • Entry date medical school / university * (Date)
  • Date Medical Degree awarded * (Date)
  • Medical school / University * (Drop-down)
  • If Other, please enter medical school / university * (Text · Limit: 50 characters)
  • Medical school / University address line 1 * (Text · Limit: 128 characters)
  • Address line 2 * (Text · Limit: 128 characters)
  • Address line 3 (Text · Limit: 128 characters)
  • Postcode * (Text · Limit: 20 characters)
  • Country of primary medical education * (Drop-down)
  • Recommended contact for academic/educational reference. Your future employer may need to request an academic/educational reference from your medical school if you graduated less than three years ago. This information will not be requested until after you have been made a conditional offer of employment. (Text · Limit: 128 characters)
  • Telephone number (Text · Limit: 128 characters)
  • Contact email address for academic/educational reference (Text · Limit: 128 characters)

Entry qualification - applicants to Oral and Maxillo Facial Surgery only

  • Please give details of your primary dental qualification (Text)
  • Qualification (Drop-down)
    • Bachelor of Dental Science (BDSc or BDentSc)
    • Bachelor of Dental Surgery (BDS or BChD or BDentS)
    • Bachelor of Dentistry (BDent)
    • Bachelor of Oral Health in Dental Science (B OH DSc)
    • Doctor of Dental Medicine (DMD)
    • Doctor of Dental Surgery (DDS)
    • Doctor of Dentistry (DD)
    • Doctor of Medical Dentistry (DrMedDent)
    • FDS / FFD RCS or MFDS or equivalent
    • Graduate Diploma in Dentistry (Grad Dip Dent)
    • MJDF / MFDS or FDS RCS or equivalent
    • MPaedDent or equivalent
    • MSc, MClin Dent
  • Date of qualification (Date)
  • Dental school/university (Drop-down)
    • Aberdeen, (University of), School of Medicine and Dentistry
    • Barts and the London, Queen Mary School of Medicine and Dentistry, Institute of Dentistry
    • Bristol (University of), School of Oral and Dental Sciences
    • Cardiff (University), School of Dentistry
    • Central Lancashire (University of), School of Dentistry
    • Dundee (University of), School of Dentistry
    • Edinburgh (University of), Edinburgh Postgraduate Dental Institute
    • Glasgow (University of), Dental School
    • King’s College London, Dental Institute
    • Leeds (University of), Leeds Dental Institute
    • Liverpool (University of), School of Dental Sciences
    • Manchester (University of), School of Dentistry
    • Newcastle University, School of Dental Sciences
    • Plymouth University Peninsula Schools of Medicine and Dentistry
    • Queens University Belfast, Centre for Dental Education
    • Sheffield (University of), The School of Clinical Dentistry
    • University College London Eastman Dental Institute
    • University of Birmingham School of Dentistry
    • Other: please specify
  • Please enter dental school/university * (Text · Limit: 100 characters)
  • Address line 1 (Text)
  • Address line 2 (Text)
  • Address line 3 (Text)
  • Post code (Text)
  • Country of primary dental education (Drop-down)

Accreditation of transferable capabilities

  • If successful in your application to this specialty, would you be interested in accrediting transferable capabilities? — This is only possible between UK training programmes. See specialty specific guidance for further information. Please note, accreditation of transferable capabilities needs to be applied for separately through the area/region where you accept a training programme. * (Yes/No buttons)
  • Please choose which best describes the programme in which you have already completed some training * (Drop-down · Conditional)

Confirmation

  • I have met/or am expecting to meet the essential entry criteria as set out in the person specification for the specialty and entry level to which I am applying, including where necessary, the acquisition of the relevant competences and college memberships. * (Tick box)
  • I confirm that my data may be used anonymously for research and evaluation purposes in particular for the continued development of national application processes and shared with the GMC and Royal Colleges for this purpose. * (Tick box)
  • I confirm that I understand the implications if I do not complete this application form correctly. * (Tick box)
  • I have read the guidance for this specialty/application and understand the specialty entry requirements for the training programme I have chosen. See Applicant Guidance. * (Tick box)

Declarations

  • Declaration 1: I declare that the information I have given in support of my application, including information supplied on this form and any attached appendices, is, to the best of my knowledge and belief true and complete. I understand that if it is subsequently discovered that any statement is false or misleading, or that I have withheld relevant information, particularly on criminal convictions and/or fitness to practise and/or have breached the Confidentiality: good practice in handling patient information (2017) stipulated by the General Medical Council/General Dental Council/any other licensing or regulatory body of which I am a member, my application may be disqualified. If I have already been appointed, I understand that I may be dismissed and I may be reported to the General Medical Council/General Dental Council or any other licensing/regulatory body of which I am a member.
  • Declaration 2: I declare that my answers to the questions on this form, any attached appendices and any other application forms required by Deaneries/NHS England recruitment offices are my own work and are not copied or reproduced from any other sources. I understand that if any of my answers are discovered not to be original, my application may be disqualified.
  • Declaration 3: Where applying for medical posts, I am aware that Good Medical Practice states that if I formally accept a post I must not withdraw unless the employer has time to make other arrangements. I understand that failure to comply with this requirement may result in a complaint being made against me to the GMC.
  • Declaration 4: I understand that if I am allocated to a training opportunity, any subsequent contract of employment will be subject to satisfactory pre-employment checks and subject to a condition that the information provided on the application form or any related documents is correct. I also understand that pre-employment checks will be carried out to review and confirm the details of my application.
  • Declaration 5: I understand that employment offered in this training programme is subject to satisfactory medical clearance which may include a medical examination and/or blood tests. Where applying for a medical post, I am aware of the GMC guidance on Gateways to the profession explaining how health and disability issues should be handled by education and training providers.
  • Declaration 6: I understand that if recommended for training I will be subject to a Disclosure and Barring Service (DBS) check (previously known as CRB), Access NI in Northern Ireland, or the Protecting Vulnerable Groups Scheme (PVG) in Scotland. I am aware that I must inform the National Recruitment Office/Deanery/NHS England recruitment office of any new criminal convictions, police investigations or fitness to practise proceedings that arise after the completion of this application form.
  • Declaration 7: I have read and understand the Privacy Notice and understand that my Personal and Sensitive Personal Data will be processed in the manner set out in this Notice.
  • Declaration 8: I confirm that if there is a change in my training status once I have submitted my application (i.e. removal of training number, interdeanery transfer etc), which would significantly affect the content of my application form, I will inform the Lead Recruiter for the training programme. Failure to disclose such changes could lead to the withdrawal of any training offer.
  • Declaration 9: I have read in full and confirm the acceptance of the 2027 Medical recruitment applicant declaration.
  • I agree to the above declarations * (Tick box)

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