| Department | TLA |
|---|---|
| Candidate Name | test test |
| Candidate Position | test |
| Professional Reg Number | test |
| Professional Reg expiry | 26/03/2025 |
| Appraisal Date | 04/03/2025 |
| Appraiser | test |
| Appraisal Position | test |
| Date of Last Appraisal/Interview | 19/03/2023 |
| HTML Block | Most Recent Placement |
| Date From | 26/03/2024 |
| Date To | 27/03/2025 |
| Placement | test |
| How are you finding the placement? | test |
| Any concerns/ comments you would like to feedback? | test |
| Induction – have you received on onsite induction? | Yes |
| Do you have any questions or concerns that we may assist with? | test |
| Any comments you would like to add? | test |
| Upcoming Compliance Renewals due: | test |
| HTML Block | Declaration:I confirm this is a true and accurate account of my appraisal and am aware that I am required to have an annual appraisal with one of TLA’s clinical lead’s which is to be completed by a video call platform (ie: facetime, skype, what’s app) |
| Name (Candidate) | testtest testtest |
| Signature (Candidate) | |
| Name (Appraiser) | test test |
| Signature (Appraiser) | |
| HTML Block | OFFICE USE ONLY: |
| Follow up required | No |
