NHS Inside Hours Spring 2019
Email address *
First Name *
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Last Name *
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ID Number *
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Event Date (Not birth date!!) *
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Event Name *
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Number of Hours Completed *
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Officer Supervisor Name *
Please select the name of the officer that supervised the event. If a Junior Officer (JO) supervised, please select "Other" and enter the name of the JO you checked in with.
A copy of your responses will be emailed to the address you provided.
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