Fellowship Position Application

Fellowship/Position Application

Please complete the Application Form, answering all questions completely.
Name

First NameLast Name
Email
example@example.com
I am applying for an:

Orthopaedic FellowshipICU RegistrarOther
OTHER:
Is there a specific fellowship that you would like to apply for?

yesno
Please provide the supervising surgeon's name(s).
I would like to apply for a fellowship in the following sub-specialty (check as many as applicable):

Upper LimbLower LimbSportsSpinalRoboticOther
Other
I would like to apply for a fellowship in the following locations (check as many as applicable):

SydneyMelbourneBrisbanePerthNo preference
PLEASE NOTE A FELLOWSHIP IS NOT A PATHWAY TO EITHER RECOGNITION AS A SPECIALIST OR PERMANENT RESIDENCY WITHIN AUSTRALIA.

An application does NOT guarantee acceptance for a Fellowship position. This is a competitive process.
You are eligible to apply for more than one fellowship. It is acceptable to undertake up to 24 months of fellowship training. I would like to participate in fellowship(s) for a total length of:

6 months12 months18 months24 months
I would like my fellowship(s) to start in: (select year)
Personal Information
Please advise the total number of whole years of FORMAL SPECIALIST training you will have completed by the fellowship start date.
In relation to meeting English language requirements, I advise that I have:

IELTSOETPTETOEFLEnglish is my first languageNo English test yet
Note: It is not a requirement to apply for a fellowship that you have passed one of these tests. However, you will be required to have passed one of these tests and have the RESULTS at least 6 months prior to commencing your fellowship so the above information will assist us to determine when you are likely to be in a position to start a fellowship
Please use this section to add in any other information you may want us to take into consideration. Please include details of the experience you hope to gain from the fellowship(s) and your plans following completion of the fellowship(s). Please write between 10-300 words.*
I acknowledge that all the information I have provided above in respect of my application is true and correct.

YES
Should be Empty:

Fellowship/Position Application