Medicine Interviewer Application In 'Birmingham Medical School' Birmingham Medical School If you are unsure if you have previously registered with us then please email us at med-admissions@contacts.bham.ac.uk and we can check our records before you fill in this form. Nomination and Application to become a University of Birmingham Medical School Interviewer Name First name Last name Email Job Title Workplace Address Address Line 1 Address Line 2 City County Postcode Country Contact phone number (for emergency contact on the day) I confirm that I will not disclose information about interviewer training or interview content for Medical school interviews to third parties. Confirmed I confirm that I will not disclose the content of interviewer training or interview questions to third parties Confirmed Recommendation Who recommended that you become an interviewer for the Birmingham Medical School? Name First name Last name Job title and role Email Submit