Leadership Development Programme Application

This programme, which has been created specifically based on the needs of Hull University Teaching Hospitals NHS Trust and the people who work here, is designed to recognise the challenges that all our leaders and people managers face on a day-to-day basis. It is here to support our leaders and managers to lead in a way that motivates them and their teams; it will enable the connections that make a big difference, not only to our staff, but ultimately to our patients and customers.

Please complete this form and a member of the Organisational Development Team will review for approval and notify you of your success.

Unique ID

Part A: Application Form

Your Name(Required)

Forename Surname

Your Job Title(Required)

Your Pay Band(Required)

Your NHS Email Address(Required)

Enter Email Confirm Email

Your Phone Number(Required)

Your Manager's Name(Required)

Forename Surname

Your Manager's NHS Email Address(Required)

Enter Email Confirm Email

Your Manager's Phone Number(Required)

Which Great Leaders programme(s) are you most interested in joining?(Required)

Be Remarkable

Rise and Shine

Supervisors+

Realising Your Remarkable

90-Day Challenge

Bitesize

Please select all that apply.

Previous leadership programmes undertaken:

Part B: Learning Agreement

Employee Agreement

I will:

Attend all of the development days and fully engage in the programme expectations and aspirations.
Be open to the benefits of a programme, which is designed to support me to improve things for myself, my staff and ultimately my patients/customers.
Commit to challenging myself to do some things differently to ultimately support me to get a different and better result at work for my staff/patients/customers.
Be focused on the goals of improving the culture and work environment for my team.
Engage with the support offered in a proactive way, whether this is classroom-based activities, action learning and/or personal coaching.

Please read the above and then confirm:(Required)

I confirm I have read and agree with the learning agreement detailed above.

Manager Agreement

Your manager must also agree to:

Explain the purpose of the programme and have a great conversation with participants about why they want to support them on the programme both a personal and performance level.
Invite them to attend and ensure all the programme dates are in their diaries with an expectation to attend as a priority.
Ensure that they are not pressurised to cancel attendance due to "operational pressures" unless there is a major incident or serious extenuating personal/business circumstances.
Where progress is not as expected or participants are not engaged, discuss further development back in the workplace to ensure they are supported to the best of their abilities to complete the programme. We don't want this to be just about programme attendance figures but also are they taking action based on what they have learned?
Be supportive, visible and proactive with the participants on the programme in the improvements and changes they want to make.

Your manager will receive this agreement in an email and must respond to the email to confirm.

Part C: Additional Information

What has been your career path up to this point?(Required)

Include jobs and roles you have undertaken and any previous leadership responsibilities you may have had, both inside and out of work.

What are your current leadership responsibilities?(Required)

What aspects of your leadership would you like to pay more attention to?(Required)

Special Requirements

Please inform of us any special requirements you may have (learning, accessibility, dietary or anything else you think we may need to know about you to support your learning).

Phone

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