• EOI - Network Executive

    Please fill out this form to submit your Expression of Interest
  • In which jurisdiction are you located?*
  • What is your status at the College:*
  • Are you a FACEM within the first three years of qualification?*
  • Network

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  • Are you interested being considered for the following positions:*
  • Core Values

  • The Core Values (respect, integrity, collaboration, and equity) imbue ACEM’s work and ethos. All appointees to ACEM entities must have completed the ACEM Core Values module by the close of the EOI period. You must also outline how you adhere to these values in your workplace, by submitting a short statement.

  • Please confirm that you have completed the ACEM Core Values Module:*
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  • CV

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  • Acknowledgement

  • By submitting this Expression of Interest (EOI), I declare that:

    • For FACEMs: I am in Good Standing with ACEM, currently compliant with all Fellowship renewal requirements, including satisfactory participation in the CPD Program and completion of the latest Renewal of Fellowship Declaration.
    • For Trainees or Other Categories: I confirm that I am enrolled in the FACEM Training Program.
    • I have no outstanding financial obligations to the College, including the payment of the annual subscription fee.
    • I hold current medical registration with no suspensions, conditions, restrictions, or undertakings imposed by any regulatory authority that would limit my ability to practise as a specialist emergency medicine physician in Australia or Aotearoa New Zealand.
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