2024 - 2025 Victorian Hospital Pharmacy Intern Program - Round 1

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Applicant Details

* indicates a required field.

Privacy Notice (Not Applicable)

We pledge to respect and uphold your rights to privacy protection under the Australian Privacy Principles (APPs) as established under the Privacy Act 1988 and amended by the Privacy Amendment (Enhancing Privacy Protection)
Act 2012.
View the DHHS privacy policy here.
View the SHPA privacy policy here.

Applicant Personal Details (Not Applicable)

Applicant *

Title	First name	Last name

Note: This is the person we will correspond with about this program.

Date of Birth *

Must be a date.

Applicant Address *

Return to address search

Address line 1

Address line 2

Suburb/Town	State/Province	Postcode

Country

Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required. Country must be Australia Applicant Residential Address. PO Boxes are not accepted.

Applicant Phone Number *

Applicant email *

Must be an email address. Note: All correspondence about the program will go to this address. Please add vicintern@shpa.org.au to your email safe sender list.

Do you identify as Aboriginal and/or Torres Strait Islander? *

Response required.

Yes

Prefer not to say

Clear

From which university did you or are you expected to obtain a qualification which leads to registration as a pharmacist in Australia? *

Response required.

Monash University

LaTrobe University

RMIT University

Other:

Clear

If 'Other' selected, please specify Universtiy.

Which of the following best describes your right to work as an intern in Australia? *

Response required.

Australian citizen

Australian permanent resident

NZ citizen

Other:

Clear

If 'Other' selected you must have valid work visas to work in Australia.

University student ID number: *

Please indicate your student enrolment status with respect to the qualification which gives you the rights to practice as a pharmacist in Australia *

Response required.

Currently enrolled

Graduated

Clear

Graduation or expected graduation date: *

Must be a date. This is the date your course finishes / finished.