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* 1. Name 

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* 2. Role/qualifications

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* 3. Main place of employment in Barnet eg primary/community care:

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* 4. What recent experience do you have of working in care homes/ supporting frail and elderly residents (max 50 words)

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* 5. Describe a project you have been instrumental in delivering ideally across a multi-professional team
(max 150 words)

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* 6. Please outline the capacity you have in your working week to deliver this project, meeting the anticipated timeline for delivery (sessions to start end June/beginning July)

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* 7. Please confirm you are available to attend/facilitate sessions on Wednesday lunchtimes

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* 8. How will you evaluate the programme? (max 150 words)

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* 9. Please outline any educational experience/qualification
(max 50 words)

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* 10. Please confirm availability to attend interview on 4.6.21

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* 11. Optional: any other information you would like us to know (max 50 words)

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