Please complete and submit the form below.
For further information or guidance, please contact cesr@rcoa.ac.uk.
Please gather all the information required for the completion of this form separately and then submit once you’re ready.
If no, please provide details for the lead contact below.
Please upload a signed and dated letter of support from the Regional Adviser Anaesthesia. The letter must include the following statement:
This Portfolio Pathway programme has been discussed with me and I am satisfied that there is training capacity to support the programme.
As the RAA, I am prepared to be involved with at least one ARCP (or other assessment-type process) annually and represent the programme on the school board.
The Royal College of Anaesthetists (RCoA) is fully committed to the principles of data protection, as set out in the Data Protection Act 2018 (C.12). The RCoA relies on legitimate interests as the lawful basis for processing of personal data. We process and maintain personal data about you so that we can manage your membership, provide you with appropriate products and services and share information with you about RCoA activities.
We will only use your information for the purposes as described and will not pass on your details to other third parties unless you have given us consent to do so.
We use appropriate organisational and technical measures to ensure that your data are secure and protected from loss, misuse and unauthorised access or alteration.
You have the right to ask for a copy of the information we hold about you and to have any inaccuracies in your information corrected. If you have any questions about data protection or require further information, please email dpo@rcoa.ac.uk
Thank you for your application.
Once submitted, this will be reviewed by the College and a decision will be made available to you via the email provided in this application.
