portfolio test Your Details First Name * Last Name * Email * Please put the course you are interested in as well as any questions or comments below* Have you previously registered for the Portfolio Project? Please SelectYesNo Contact Permission We'd love to get in touch with you with regards to upcoming Portfolio events in your area and any other relevant Portfolio Project information. Your location and previous course history will help us determine the most suitable skills days for your area, but from time to time we may need to contact you via email, telephone or post. You can indicate how you would like us to contact you below. Please note that Email is our preferred method of contact and many of our services such as Portfolio event updates require you to check this box. EmailPhonePost Additional Details Profession * DoctorNurseParamedic Job Role * Place of Work * Health Board * Professional Registration No. * Address 1 * Address 2 City * Postcode * Work Phone Home Phone Mobile * We aim to deliver our initial Portfolio events based on popular demand, so we ask that you please indicate your preference for upcoming events below. Rate the event 1-5 with 1 being the highest priority for you. Course Preferences Cardiac Resuscitation 12345 Trauma Management 12345 Deteriorating Patient 12345 Paediatric Emergencies 12345 Maternity & Neonatal Emergencies 12345 Please provide a list of courses you have previously attended that are appropriate to this project. It is not necessary to complete this entire section, just include as much information as you can as this will help us determine the most appropriate training opportunities for you. Course 1 Provider Course Date Course 2 Provider Course Date Course 3 Provider Course Date Course 4 Provider Course Date Course 5 Provider Course Date External Providers Whilst BASICS Scotland is the facilitator of portfolio events, certain skills days are delivered by external providers such as the Scottish Multiprofessional Maternity Development Program (SMMDP) who run the Maternity & Neonatal skills day. If you book a place on one of these skills days, BASICS Scotland will be required to provide the external provider with your contact details in order for them to send you course information and material. Please indicate that you consent to our sharing of your details for these skills days by ticking the checkbox. * I consent to BASICS Scotland sharing my contact details with external providers of portfolio skills days. Terms & Conditions We want you to know exactly how our service works and why we need your contact details. Please state that you have read and agreed to to our Privacy Policy and Terms & Conditions before you continue. * I agree to the Terms & Conditions. Contact Permission We'd love to get in touch with you with regards to upcoming Portfolio events in your area and any other relevant Portfolio Project information. Your location and previous course history will help us determine the most suitable skills days for your area, but from time to time we may need to contact you via email, telephone or post. You can indicate how you would like us to contact you below. Please note that Email is our preferred method of contact and many of our services such as Portfolio event updates require you to check this box. EmailPhonePost
