2025/2026 Tackling Inequalities Leadership Programme Application Form

Application form for the Tackling Inequalities Leadership Programme 2025/26

Supporting the need for collaboration and inclusivity across systems, we work with leaders to develop their skills, equipping them with tools, ideas and insights, and connecting them with a community of their peers. Places are limited so we encourage applications to be submitted as soon as possible. Should you have any technical or accessibility difficulties please email: partnershipsandequality@nhsconfed.org
Data protection notice

All information provided through this form will be held by the NHS Confederation. Any personal data provided will be processed for the Tackling Inequalities Leadership Programme 2025/26. The information collected will be processed via jot form, on behalf of the NHS Confederation and shared within the NHS Confederation. It will not be shared with any other third parties. Please see our privacy policy for further information on how we will handle your data and you may opt out from communications from us at any time.
ORGANISATION DETAILS
Name of organisation*
Organisation type*
Region*
APPLICANT DETAILS
Applicant 1
Name (applicant 1)*

First NameLast Name
Job title*
Email*
Phone Number*

Area CodePhone Number
Optional - Applicant 2

If adding a second applicant please provide their name, job title, email and telephone number.
Name (applicant 2 if applicable)

First NameLast Name
Job title
Email
example@example.com
Phone Number

Area CodePhone Number
Additional information
Name of the board member sponsoring your involvement in the programme.
Board member email address
example@example.com
Please add a link to your equality and diversity strategy (or indicate if this is not yet in place).
Please state why you wish to participate in this programme? (250 words max)

0/250
How did you hear about the Tackling Inequalities Leadership Programme?
Opt-in to connect with other participants on the Tackling Inequalities Leadership Programme.
If you are accepted onto the programme please confirm if you are happy to have your email address, name, job title and organisation name shared with other participants. Please opt-in below.*

Opt in for details to be shared with other participants on the Tackling Inequalities Leadership Programme.Opt in for potential contact from other participants on the Tackling Inequalities Leadership Programme, but would like requests to make contact with me to come via NHS Confederation staff.I do not want my contact details sharing with other participants on the Tackling Inequalities Leadership Programme.
Your data when using Microsoft Teams and Zoom
Please note, we may use Microsoft Teams and Zoom to run meetings for programme, and where we do, your name and email address may be visible through these platforms to other members of the network. This is a functionality of Microsoft Teams and Zoom that we cannot alter.

We will remind you on meeting invitation, but in accepting these invitations, you are consenting for your data to be visible in this way. Please note, during the meeting you may be able to turn off your camera and alter your name. For more information please see our Microsoft Teams and Zoom privacy notice

Application form for the Tackling Inequalities Leadership Programme 2025/26

ORGANISATION DETAILS

APPLICANT DETAILS

Applicant 1

Optional - Applicant 2

Additional information