GIC Approval Form

Course Details
Organisation

ALSGRC(UK)
Organisation [HIDDEN]
ALSG Centre Name
RC(UK) Centre Name
Course location*
This is the location that will appear on the VLE
We are launching the 4th edition of the GIC course in January 2025 so your course page won't be uploaded until the 4th edition course is launched.
Start date*

YearMonthDay
First day of the course. This will be used as part of the course page's title on the VLE
startDate [HIDDEN]
End date*

YearMonthDay
endDate [HIDDEN]
Your course page will be called {courseType} in {courseLocation} on {startDate}

Coordinator, Course Director and Educator
Coordinator name
Coordinator email*
This is the account that will be attached to the course as the coordinator
Course Director's name*
Course Director's email address*
example@example.com
Shadow or 'back-up' Course Director's name
Shadow or 'back-up' Course Cirector's email address
Educator's name*
Educator's email address*

Order Details
Each GIC candidate place costs £26
Number of candidates
This field replaces the separate Admin and VLE fee boxes
Total amount for candidate places (£)
Each 3rd edition GIC 'Pocket Guide to teaching for Medical Instructors' costs £18.63

Each 4th edition GIC 'Pocket Guide to teaching for Medical Instructors' costs £20.00

Electronic copies of the progress log can be downloaded from your course page, or you can use the electronic version, also on your course page.
3e book
4e book
Chosen book
Number of books
Total amount for books (£)
Total amount for this course (£)

Invoice details
Purchase order number*
IMPORTANT: Many organisations will not pay invoices without a purchase order number. Include a purchase order number here if you have one. Failure to do so may delay delivery of your course materials. If your organisation does not require a purchase order number, type your initials and the date here to indicate that.
SendElectronicInvoice*
Invoice email
example@example.com
Invoice contact number
Invoice recipient name
Invoice recipient company or trust name
Invoice address line 1
Invoice address line 2
Invoice city
Invoice postcode
Invoice country

Confirmation
You must agree to the following conditions before submitting your approval. If you cannot confirm any of the conditions, you can save this form and submit it once you are able to confirm your agreement.
I will run the course using the standard programme, equipment and the most up to date teaching materials, available on the GIC website.*

I confirm I will do this
I will run with the required ratios of candidates to registered faculty and full instructors to instructor candidates according to the course regulations*

I confirm I will do this
I will run with a recognised Course Director and Educator*

I confirm I will do this
I will have instructors from all the required specialties, as listed in the course regulations*

I confirm I will do this
I will pay all invoices for course fees and materials at least 6 weeks before the course date (or as soon as possible if the approval is made less than 6 weeks before the course) to allow for delivery of goods and time for candidates to fully prepare. I understand that no course materials will sent until payment is received.*

I confirm I will do this
I will enrol instructors into the course page to make materials available to them as soon as the course page is available*

I confirm I will do this
I will complete course returns within 2 weeks of the course, to allow the release of certificates for candidates.*

I confirm I will do this
Should be Empty: