Express interest for internal committees

Background

The Australian College of Rural and Remote Medicine (the College) calls for expressions of interest from interested Fellows and Members to represent the College on internal committees or working groups.

Process

To register your interest in representing the College, complete the on-line form below and attach a brief up-to-date CV. Once all relevant details are received by the College, they will be forwarded to the Australian College of Rural and Remote Medicine's Board for consideration.

You will be notified by email regarding the outcome of your nomination.

Policy

It is the responsibility of the applicant to ensure information is current and correct. The College will check current medical registration status prior to forwarding to the Board.

Title ^*
required
First Name ^*
required
Last Name ^*
required
Email^*
required Invalid Email
Contact Number ^*
required
- The representative role for which I am nominating is ^*
  required
- I hold current medical registration ^*
  required
- Attach documents: ^*
  
  required
  
  Upload
  
  Allowed file types: pdf, doc, docx,
  
  Max size: 2MB
- Are you aware of any professional or ethical issues that the College should take into consideration when considering you for this representative role?
- I have professional or ethical issues to declare to ACRRM. ^*
  required
- If yes, please write a short explanation
  required
- I declare that I am NOT currently under investigation or the subject of disciplinary proceedings under any jurisdiction, and understand that a false declaration would result in not being considered for this role ^*
  required
Submit

Express interest for internal committees

Background

Process

Policy

Representative Role

Attachment

Declaration

Healthy rural, remote and First Nations communities through excellence, social accountability and innovation.