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MENTOR HELPLINE

admin@medicmentor.org

General Enquiries

University Hospitals Birmingham Trust Virtual Work Experience

STEP TWO

Complete your application

Please complete this form to complete your application for the free virtual work experience programme.

Please carefully read and agree to the below statements

I declare that this information I have provided is true and complete. I understand that any wilful misstatement or omission may result in the cancellation of my placement.
I understand and agree to abide by Medic Mentor’s Student Code of Conduct. I understand and agree, that if I violate Medic Mentor’s Student Code of Conduct, I will be subject to the procedure for dealing with alleged breaches of the Student Code of Conduct, as detailed here
I understand and agree that myself and my child must abide by Medic Mentor’s Student Code of Conduct. I understand and agree, that if I or my child breach Medic Mentor’s Student Code of Conduct, that we will be subject to the procedure for dealing with alleged breaches of the Student Code of Conduct, as detailed here