Healthcare Leadership Academy: Scholars Programme Nominations

Healthcare Leadership Academy: Scholars Programme Nominations
Nominate the most promising clinicians you know to join the Healthcare Leadership Academy (HLA) Scholars Programme.

The nominated clinicians will be contacted via email (with the nominator copied in) to congratulate them and invite them to commence the next stage of they competitive selection process.

If you would like to create a Medics.Academy Account and take a look at the range of programmes we offer, please find our website and sign up here.
Full name of the nominator*

First NameLast Name
Email of the nominator*
example@example.com
Organisation of the nominator*
Title/Role of the nominator*
List down your nominations in the table below. Please mention HEE region and the level or grade of the trainee (ie ST1/ST3+/Nurse/ Consultant/Student...etc.)

Nominee 1*

	Name	Email	Level/ Grade	Will the nominee be in core or higher specialty training in the UK during their scholar year? (Yes/No)	Which hospital, trust or region will the trainee be working in clinically during their HLA scholar year?
Nominee 1

	Name	Email	Level/ Grade	Will the nominee be in core or higher specialty training in the UK during their scholar year? (Yes/No)	Which hospital, trust or region will the trainee be working in clinically during their HLA scholar year?
Nominee 2
Nominee 3
Nominee 4
Nominee 5
Nominee 6
Nominee 7
Nominee 8

What other scholarships do you think the trainees will benefit from? (Pick one or more answers)*

EducationLeadershipTechnology Enhanced LearningInnovationMentorship and CoachingNone
Should be Empty:

List down your nominations in the table below. Please mention HEE region and the level or grade of the trainee (ie ST1/ST3+/Nurse/ Consultant/Student...etc.)