ACSEP Training Program Application

APPLICANT DETAILS

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Female
Male
Non-binary/another gender
Prefer not to disclose
No
Aboriginal and/or Torres Strait Islander
Māori
Pasifika
Prefer not to disclose
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Declaration of Eligibility

I have read, understood, and meet the eligibility criteria and requirements outlined in the current Training Program Selection and Deferral Policy. I confirm that I:

• Hold current, unconditional medical registration with the relevant Medical Board or Council in Australia or New Zealand
• Hold permanent residency or citizenship of Australia or New Zealand
• Have completed PGY1 and PGY2, and am in PGY3+ at the time of application. I understand that applicants who have not yet completed PGY3 must anticipate completion prior to the date of commencement on the Training Program.
• Have successfully completed the ACSEP Entrance Examination in the last 10 calendar years.
• Understand that I may apply for the Training Program a maximum of four times, after which I will be ineligible to apply again.

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1st Application
2nd Application
3rd Application
4th Application
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Yes/Accept

Please note: An application fee for the Training Program is payable upon submission of this form. Applicants should refer to the current ACSEP Fee Schedule for further information. If you are not automatically directed to the payment page, please contact registrars@acsep.org.au.

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