Contact Details
Primary Address
Accreditation Number/s
Are you of Aboriginal or Torres Strait Islander origin?
Do you identify as Culturally and Linguistically Diverse (CALD)?
SCA Placement Type
Please Outline Your Specific Learning Needs
Credentialed At Local Hospital In
Anaesthetics SCA
Preferred SCA Hospital

Please rank your preferred hospital, with the first selection being your most preferred.

Date Availability

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King Edward Memorial Hospital Dates

You have selected King Edward Memorial Hospital as one of your preferred locations. The date listed below, please tick the date to proceed with the application.

Emergency Medicine SCA

Please rank your preferred hospital, with the first selection being your most preferred.

Date Availability

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Obstetrics - Caesarean SCA
Preferred SCA Hospital
Date Availability

Please provide three (3) available date brackets below

Preferred Date 1
Preferred Date 2
Preferred Date 3
Obstetrics - General SCA
Preferred SCA Hospital

Please rank your preferred hospital, with the first selection being your most preferred.

Date Availability

Please provide two (2) available date brackets below

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