Application to be a facilitator for the WMS Challenging Racism workshop
{"elements":[{"isDiscrete":false,"hidden":false,"name":"Name","readOnly":false,"id":570159535,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Email","readOnly":false,"id":570159554,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Your role in Warwick Medical School","readOnly":false,"id":570164360,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Why do you want to be a Challenging Racism workshop facilitator","readOnly":false,"id":570160112,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Experience of PowerPoint presentations","readOnly":false,"id":570159803,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Experience of group facilitation","readOnly":false,"id":570159881,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"false","value":"0-false"},{"text":"false","value":"1-false"},{"text":"","value":"2-"},{"text":"false","value":"3-false"},{"text":"false","value":"4-false"}],"name":"Attendance certificate","readOnly":false,"id":570161879,"type":"attachment"},{"isDiscrete":true,"hidden":false,"values":[{"text":"I have informed my line manager / supervisor and they support my application to be a Challenging Racism workshop facilitator","value":"0-ihaveinformedmylinemanagersupervisorandtheysupportmyapplicationtobeachallengingracismworkshopfacilitator"},{"text":"I agree to commit to facilitating a minimum of two workshops per year once trained","value":"1-iagreetocommittofacilitatingaminimumoftwoworkshopsperyearoncetrained"}],"name":"Confirm","readOnly":false,"id":570164658,"type":"checkboxElement"}]}