GMTS 2018 EOI survey – preview to build 2019 GMTS Assurance - Stage 1 online form - Statement of intent to host and commitment to pay Local Leadership Academy Region*Yorkshire & the HumberNorth EastNorth WestEast MidlandsWest MidlandsThames Valley and WessexEast of EnglandLondonSouth WestKent, Surrey and SussexName of lead host organisation* Lead host organisation type*Foundation TrustMental Health TrustAcute TrustCommunity /Health TrustAmbulance ServiceCommissioning Support UnitClinical Commissioning GroupArms Length BodySustainability and Transformation PlanPrimary Care (GP practice/partnership)OtherIf "Other" organisation type selected please enter type below* Name of contact at lead host organisation for GMTS placements* This and the fields below should be the information to enable contact (from the LLA GMTS Lead) with the individual who is best placed to discuss the full trainee bidJob title of lead host contact* Email address of lead host contact* Telephone number of lead host contact* Name of lead host organisation authorised signatory/budget holder for GMTS placements* This field and those below should contain the details of the individual in a position to commit to and accept the £24k contribution per trainee as part of this arrangement on behalf of the lead host organisation. This individual will also engage in the billing process, further details of which will be shared in due course. It is the responsibility of lead organisations to negotiate and recoup any costs to be apportioned to partnering organisation(s). Job title of lead host organisation authorised signatory/budget holder for GMTS placements* Email address of lead host organisation authorised signatory/budget holder for GMTS placements* Telephone number of lead host organisation authorised signatory/budget holder for GMTS placements* The number of Human Resources placements you would like to offer* Name and contact details of partner organisation supporting bid for Human resources placement(s)* Enter N/A if not applicableThe number of General Management placements you would like to offer* Name and contact details of partner organisation supporting bid for General Management placement(s)* Enter N/A if not applicableThe number of Finance placements you would like to offer* Name and contact details of partner organisation supporting bid for Finance placement(s)* Enter N/A if not applicableThe number of Health Informatics placements you would like to offer* Name and contact details of partner organisation supporting bid for Health Informatics placement(s)* Enter N/A if not applicableWould you be interested in providing placement opportunities for trainees in the 2019 intake with a potential start date of March 2020?*YesNoDon't knowYou will be contacted at a later date with information and to discuss this furtherIf you selected "No" or "Don't know" please indicate why below* Terms and conditions* Tick here to acknowledge and agree to the below By entering details into and submitting this form the lead organisation is committing to overseeing the hosting of trainee(s) within the specialism(s) specified in conjunction with partnering organisations. The lead organisation understands that offers of employment to successful scheme applicants will be made upon the basis of submissions of this form and are therefore committed should their bid be successful to the £24k contribution per trainee as part of this arrangement. The contribution will be proportionately aligned to the financial years in which the trainee(s) is on the scheme. Lead organisations will engage in the billing process, further details of which will be shared in due course. It is the responsibility of lead organisations to negotiate and recoup any costs to be apportioned to partnering organisation(s). The lead organisation (in conjunction with partnering organisations as appropriate) will upon instruction from their Local Leadership Academy GMTS Lead (contact details here http://www.nhsgraduates.co.uk/hosting/) proceed to engage in and complete further stages of this process including Stage 2 online form - Statement of bid particulars which will outline the detail of the bid for a trainee to which they will be held to account and Stage 3 Quality Assurance.