Due to the COVID-19 situation all elective placements have been suspended until further notice.
Rural Clinical Elective Application Form
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Submission Time Frames
Important Notice for Elective Placement Period
Period Submission Commencement Submission Deadline Review Period
July/August 2020 01-Nov-19 31-Dec-19 January 2020
December 2020/January 2021 01-Feb-20 30-Apr-20 July 2020
Temporary 03-Oct-18 05-Dec-20 Temporary

Please note that we will not assess applications received outside of the above timeframes.
Personal Details

Please ensure you prefix the number with your country code.


Students who are offered a placement will be charged a non-refundable placement fee which is paid online once details are confirmed:

  • International medical students: $1,000.00
  • Australian and NZ medical students: $220.00
  • UWA & Notre Dame Fremantle medical students: No fee
Student’s Knowledge of English

Documents required to be uploaded when submitting this Application:

  • A copy of the identification pages of your passport endorsed by your Faculty representative (not applicable for UWA or Notre Dame Fremantle medical students);
  • Proof of proficiency in written and spoken English — if not your first language, or your course is not taught in English, IELTS or TOEFL or a statement from your university. You must be able to understand, write and speak English competently;
  • A letter from your Faculty confirming your student status and level and in good standing;
  • Your current CV;
  • Any additional documentation you deem appropriate to submit.

Tip! Hold the CTRL or ⌘ to select multiple documents.

By submitting this form, you:

  • agree that the specified fees are non-refundable; and
  • have supplied the correct information in the form; and
  • attached the required identity and eligibility documentation.