T01 Your starting position — Blank form
2026 digital edition · Dr Naeem Aziz DGM FRCP · 1 min read
Print this blank worksheet and complete it privately. Responses are not collected by the website. Do not include identifiable patient information. This is a planning aid, not an official application form.
Blank reusable form
Read with chapter 1 to 3
Use this before a first career discussion. Record uncertainty openly; this is not an eligibility assessment.
Current employment
Nation, employer, grade, contract and working pattern. Mark anything unconfirmed.
The work you want recognised or developed
Describe the work and responsibility, as well as your intended destination.
Your present contribution
Summarise two activities you currently undertake and how others know your work.
The main gap
Capability, evidence, opportunity or organisational decision. More than one may apply.
The next question
Identify the question that would most improve your understanding.
Who can help
Name the role that can answer it and who has decision authority.
Next action and review
Record an agreed action, owner and date; distinguish a proposal from agreement.