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Trainee Pharmacist Programme Enrolment Form

Welcome to the online enrolment for the Trainee Pharmacist Programme.

Will this form be completed by someone else other than the trainee?

Will this form be completed by someone else other than the trainee?

Important Information for EMPLOYERS filling out this form

Before filling out this enrolment form please ensure that you have the following information to hand:

  • Your trainee's personal details (e.g. home address, date of birth, personal email address)
  • A digital photograph of your trainee - this image should clearly show their face e.g. a passport style photo or a selfie would suffice

Important Information for TRAINEES filling out this form
Before filling out this enrolment form please ensure that you have the following information to hand:

  • Your workplace details
  • Your tutor's details (e.g. their personal email address and their GPhC registration number)
  • A digital photograph of yourself - this image should clearly show your face e.g. a passport style photo or a selfie would suffice

Trainee's Personal Details

Important Information: Please enter the trainee's full name as registered with the GPhC.
One file only.
10 MB limit.
Allowed types: gif, jpg, png, svg.
Are you registered disabled
Do you consider yourself to have a disability?
Do you wish to discuss any needs for additional support with a member of Buttercups staff?
Ethnicity

School of Pharmacy

Workplace Details

Important Information: Please enter the number of hours per week you will be working on average.
Is the invoice address different to the Company address

Invoice address - if different from workplace address

Programme Selection

This programme includes First Aid, Vaccination and Clinical Skills Training. If you wish to include the GP Pharmacist Programme, this will incur an additional fee and you will need to enrol separately for this bolt on.

Complete the table below to confirm which one of Buttercups Foundation Pharmacist Programmes you wish to enrol on.

Trainees may only enrol on one programme.

Programme Venues (for regional study days)

Important Information
The Nottingham Late Programme has events between November 2022 and July 2023 and is suitable for those starting training late and/or sitting the GPhC assessment for the first time at the autumn sitting.

Are you a Bradford University sandwich course student undertaking a 6-month placement?
Are you completing a split-placement in community pharmacy and general practice?

Dietary Requirements

Application for the Buttercups Foundation Pharmacist Training Programme

Has the trainee submitted their application to the GPhC? (Deadline to start approved training in time to enter the summer assessment 5th August)

Intended start date for foundation training

Requirements for the course

Parts of this programme will be delivered via webinar. This will require the trainee to have access to a computer/tablet with a webcam and good internet connection, during the working week.

Please indicate below where the trainee will complete the webinars: