PSU Application

PSU Application Form

Please note- We occasionally experience technical issues with our webform submissions and so you may receive an error message upon submission. Your information is being retained, even if the error occurs and you will be contacted by our team.

We, the Professional Support Unit (PSU), take seriously the protection of your personal and confidential information. Please take a moment to read our Confidentiality Policy, which sets out how we use and protect your information.

KSS Foundation trainees: You should access support services via the KSS’s own Professional Support & Wellbeing Service. Please head to KSS Professional Support and Wellbeing Service for more information.

KSS GP trainees: Please note from 1^st February 2025 all GP trainees in Kent, Surrey, and Sussex (KSS) will be supported by KSS Professional Support and Wellbeing Service. If you are a GP trainee based in KSS please go to: KSS Professional Support and Wellbeing Service

Title *

First name *

Last name *

Email Address *

Gender *

I self-identify as: *

Telephone Number *

GMC / GDC / NMC / other Registration Number *

Profession *

Other profession

Stage of training *

Other stage

Position/Grade *

Other position/grade

Job title *

Medical or dental specialty? *

Medical

Dental

Specialty *

Other specialty

Ethnicity *

Specify ethnicity if not above

LETB *

Other LETB

Do you consider yourself to have a disability? *

Yes

No

Prefer not to say

Trust *

Other trust

Place of Primary Qualification *

UK

IMG (International Medical Graduate)

Reason for requesting one-to-one appointment *

Other (please specify) *

Have you ever been in contact with the PSU prior to this application? *

Yes

No

Please provide details: *

How can we support you? *

Re Confirm your email address *

Confirmation *

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