North Wales & North West Regional AUA Accreditation Application Peer-learning Groups

• Name*
• Role*
• Institution*
• Current AUA membership designation
  MAUAAMAUAFAUANot a current AUA member
• Why do you want to join the programme? Please select all that apply
  • Obtain Accreditation
  • Obtain Fellowship
  • Renew Accreditation
  • Renew Fellowship
  • Support others
• I would prefer to be allocated to a group based on the following:
  My roleMy institutionMy availability
• My preferences for meeting times: (please indicate top 3)
  • Monday morning
  • Monday lunch
  • Monday afternoon
  • Monday evening
  • Tuesday morning
  • Tuesday lunch
  • Tuesday afternoon
  • Tuesday evening
  • Wednesday morning
  • Wednesday lunch
  • Wednesday afternoon
  • Wednesday evening
  • Thursday morning
  • Thursday lunch
  • Thursday afternoon
  • Thursday evening
  • Friday morning
  • Friday lunch
  • Friday afternoon
  • Friday evening
• I’d prefer to be in a group that meets:
  WeeklyFortnightlyMonthly