Select the reasons you will be using LEAP for
Title
Your employer
Organisation (freetext)
Your work email address
This is what you use to login to Trust computers (ex. JSmith)
Job Role
Please select the department you belong to. If you are not paid by Kings then please select None Substantive Staff
Start Date
Termination Date (if known)
GMC No. (if applicable)
Contract Type
ESR number (on your payslip - if you have one)
Please enter the details of your request. A member of our support staff will respond as soon as possible.