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The West Midlands local office is the national Tier 2 and Tier 4 lead sponsor for trainees in HEE.  They manage the applications from these trainees and issue the Certificates of Sponsorship (CoS) for Tier 2 applicants and Confirmation of Acceptance for Studies (CAS) for Tier 4 applicants.  

May to July is the peak time for applications as trainees apply upon appointment to their training programme.

The trainee cohorts under the responsibility of West Midlands are:

  • Specialty Training (inc. General Practice) and Foundation 
  • Tier 4 dental trainees



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