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Kendal Vaccination – Clinician Registration

Register your interest to help

Please provide your details. Once further clarification is available regarding the specifics of the vaccination programme we will contact you to discuss opportunities to support the programme. We appreciate your willingness to help, and ask in advance for your patience as we await further clarification. We aim to be prepared in advance to serve Kendal.

Support Covid Vaccination - Clinicians

First Name *

Last Name *

Email *

Mobile *

Date of Birth *

Address *

Current Role (if working) *

Are you currently registered as a clinician? *

Yes

Are you currently DBS checked for a current role?

Yes

Relevant Medical Qualifications

Experience of giving Intramuscular Injections *

General Availability *

Weekday Mornings - 08:00 - 12:00

Weekday Afternoons - 12:00 - 16:00

Weekday Evenings - 16:00 - 20:00

Weekend Mornings - 08:00 - 12:00

Weekend Afternoons - 12:00 - 16:00

Weekend Evenings - 16:00 - 20:00

Please give an indication of which time slots you might be available for.

Number of Sessions *

Please give an indication of the number of 3.5 hour sessions you could assist with on average per week.

Donate My Session

Yes

Maybe

Would you like to donate a percentage of your fee to a local charity of your choice?

Clinical Reference - Name and Organisation

Please give the name and organisation details for a professional referee who can comment on your clinical experience.

Clinical Reference - Contact Details

Please provide a contact email for your professional referee

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Kendal Vaccination – Clinician Registration

Register your interest to help

Working together for Kendal