Monash School of Medicine - Clinical Placement Request Form

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Monash School of Medicine - Clinical Placement Request Form - Osaka University

This is an application form only and does not constitute an enrolment for any course in the university or entitle an applicant to be classified as a student of the university. Every effort will be made to accommodate your preferred placement however we cannot guarantee this will be possible. Students must be nominated by their home institution.

Email *

Name

Placement Dates

Note that students must attend orientation on the first day.

15 April to 24 May

Clear selection

Choose your first 3 preferences from the list of specialties below. Note that we will make every effort to allocate you to one of your preferences, but this cannot be guaranteed.

Limited places are also available at the new Victorian Heart Hospital in Cardiology.

Any other information you would like to provide.

Please note that Melbourne is a geographically dispersed city and students are advised to wait until they have a confirmed placement before booking accommodation.

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