Foundation training programme enrolment form 2024-25

• The Foundation Pharmacist Training Programme is open to trainee pharmacists working within the pharmacy sector. This enrolment form will need your NPA member number, if you don’t currently have NPA membership and a number, please contact our Member Services team on 01727 800402 to set up an associate account.

Any enrolments that are completed prior to the 31st of July 2024 are eligible for amendment free of charge. If you require any changes please email training@npa.co.uk

Trainee pharmacist's details

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Full Name

Name*

Prefix First Last

Date of birth*

Email address*

Please ensure this email address is unique to the trainee pharmacist and is not a university email address, we will use this for the purpose of contacting the them.

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Telephone number*

Trainee pharmacist's telephone number*

This number will be used to provide your trainee with urgent information about the study days or to contact them on their study days. Please include a space between the area code and line number e.g. 07734 567890. By providing the number, the trainee is agreeing for the NPA to use it for SMS alerts and reminders relating to the course.

Designated supervisor/Supervising pharmacist details

NPA Member No:

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Are you a member of Cambrian Alliance?*

Yes
No

Designated supervisor/Supervising pharmacist Full Name*

GPhC No*

Designated supervisor/Supervising pharmacist Email Address*

Please ensure this email address is not shared and is unique to the designated supervisor, we will use this for the purpose of emailing login details.

Designated supervisor/Supervising pharmacist Telephone Number*

Pharmacy Name*

Pharmacy Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Free Designated supervisor training programme

If you would like to receive access details, please tick this box.

NPA Members enrolling a student onto the NPA Foundation training programme are eligible to access our online Designated supervisor training programme free of charge.

I can confirm that:*

Select All
I am a permanent designated supervisor of this student
I am willing to support the student throughout the training
I have carried out a personal assessment of the student's capabilities
My trainee will be eligible to enrol on the Medicines counter assistant eLearning course, attend a Leadership skills webinar, receive Clinical Skills training and undertake full practical Flu vaccination training later in the programme, which is included in the course fee. The NPA will advise me of the process for this in due course.

Study Day Location Preference:*

London
Birmingham
Manchester

The study days will be held in or around the locations shown above. Please indicate your preferred choice of location. Please note that places are available on a first-come first-served basis. Locations are based on us meeting the minimum number of required students. Unfortunately we will be unable to offer a refund once the booking is confirmed.

Does the trainee pharmacist have any dietary requirements or allergies?

No
Yes

Please specify:

Vegetarian
Halal
Vegan
Other
Allergies

If other please provide more details

Please ask the trainee pharmacist to upload a recent photo of themselves for their student profile.*

Accepted file types: jpg, png, Max. file size: 16 MB.

Please note that the size of the file cannot exceed 16MB

How did you hear about this course*

If other please provide more details

Important Information

Data Protection Notice

It is important that you understand how the personal information you give us will be used. Therefore, we strongly advise that you read our Privacy Statement, which you can find at Privacy Notice.

Terms of Service*

Read our full Terms and Conditions here.

I agree to the Terms of Service

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Phone

This field is for validation purposes and should be left unchanged.