Y3Staff Health & Wellbeing Team Wellbeing Programme - Y3SHWTWB4 (EC) - Page 1 of 4 - NI Direct

Introduction

1. Job Title

(Required)

2. Are you a Registered Nurse

(Required) Yes No No but i work within a nursing / nursing assistant role

3. Department

4. Division / Directorate

5. Title of Programme (What did you do / Where did you go?)

Title of Programme

6. Date of Programme

Date

Day (dd)
-

Month (mm)
-

Year (yyyy)

7. Champion's Name