SCCLEA Awards: STRICTLY CONFIDENTIAL

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Please indicate how you will use the system. All authorised users will be able to complete Citations. If you hold a consultant contract with a Scottish NHS Board, have a valid GMC/GDC number, and are eligible to apply for an award you will be able to complete a CV.

	Please select any of the following that apply (if none apply, please leave this section blank):
I am:	A consultant potentially eligible to apply for an award or already an award holder The Chief Executive, Chair or Medical Director of an Employing Authority An employee from an Employing Authority required to complete Employer Citations The head of a Supporting Body responsible for countersigning Supporting Statements A Personal Assistant to another user