25.1 Fellowship Written Examination

20255.1 Fellowship Written Examination - Invigilators EOI

Please fill out this form to express your interest in the above role
Name*

First NameLast Name
ACEM ID*
Your Email*
Are you a Fellow?*

YesNo
Preferred Contact Number

Area CodePhone Number
Exam invigilation is available to FACEMs only
Please advise the town/city you live in.*

Street Address

Street Address Line 2

City/TownState / Province

Postal / Zip Code
Please advise the state you live in.*

State / Province
Have you been an ACEM invigilator before?*

YesNo
Please specify which location you would like to invigilate in. Invigilators are expected to participate in their own state/city. Travel costs are not covered by the College. *
I am available all day on 23 May 2025*

YesNo
Dietary Requirements*

I do not have any dietary requirementsI have dietary requirementsI do not require lunch to be provided
Please provide details of your dietary requirements
Confidentiality Agreement

Please click the links below and carefully read the following documents:

ACEM Intellectual Property Policy (COR64)

Privacy Policy
Acknowledgement

By submitting this form I acknowledge the following:
I agree to the terms of the Confidentiality and Intellectual Property Agreement attached above and agree to abide by this
Signature*

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20255.1 Fellowship Written Examination - Invigilators EOI