Medical Student Application Form

Office-bearer Role Verification

Please provide letter/s or email/s from the current Society Chair/ President verifying your office-bearer roles if applicable.

If you are the current president/chair, please provide a letter from the another office-bearer e.g. Secretary.

Office-bearer Role Verification

Office-bearer Role Verification 2

Office-bearer Role Verification 3

Summary

Terms & Conditions

Successful medical students will be required to attend the course onsite at the Adelaide Convention Centre, no virtual registrations will be available in 2023.
Should an applicant receive complimentary registration to the DCAS course, all other associated costs of participation such as travel and accommodation are at the applicant’s personal expense.
Please ensure you have uploaded proof of your enrolment as a full-time medical student in 2023.
If you have listed any office bearer roles in your application and have not uploaded proof as requested, these roles will not be taken into account.

Please ensure you have included all relevant and requested documents with your application.

I acknowledge and have completed the above

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Medical Student Expression of Interest Form

Contact Details

Gender Identity

Address

Student Details

Name of university / institution in which you are currently enrolled

Name of course / program in which you are currently enrolled

Level / year of study as at 31 January 2023

Are you in your final year of study?

Level of Study

Please list degrees previously awarded including Honours (if applicable)

Of which university surgical interest group/s are you currently a member? (if applicable)

Please list any office-bearer role you currently hold or have held previously in that society (if applicable)

Medical Student Verification

Office-bearer Role Verification

Summary

Terms & Conditions

Application Complete

Medical Student Application Form

Medical Student Expression of Interest Form

Contact Details

Gender Identity

Address

Student Details

Name of university / institution in which you are currently enrolled

Name of course / program in which you are currently enrolled

Level / year of study as at 31 January 2023

Are you in your final year of study?

Level of Study

Please list degrees previously awarded including Honours (if applicable)

Of which university surgical interest group/s are you currently a member? (if applicable)

Please list any office-bearer role you currently hold or have held previously in that society (if applicable)

Medical Student Verification

Office-bearer Role Verification

Summary

Terms & Conditions

Application Complete

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