Curriculum change form for the Lifelong Learning Platform This form is for users of the Lifelong Learning Platform who wish to request a change of assigned curriculums. If you are moving from a 2010 curriculum to a 2021 curriculum, you will need to have approval from any one of the following: Head of School, Training Programme Director, Regional Adviser or Deputy Regional Adviser. We may ask you to provide evidence of this approval (an email confirmation from one of the above). This form will be processed in five to eight working days by the Lifelong Learning team. Full Name GMC Number Email address Current Curriculum ACCS 2010 ACCS 2021 ANAES 2010 ANAES 2021 What Curriculum would you like to move to? ACCS 2010 ACCS 2021 ANAES 2010 ANAES 2021 The reason(s) for the curriculum change Please enter the earliest date you would like us to make this change If you are currently on a 2010 curriculum and you would like to move to a 2021 curriculum, has this been approved by your Head of School, Training Programme Director, Regional Adviser or Deputy Regional Adviser? Yes No Please provide the full name and GMC number of the approver and we may ask you to provide evidence. Full Name GMC Number Confirmation Data Protection Statement 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 firstname.lastname@example.org I have read and understand the College's data protection statement CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.