I am applying for SAPP because of exceptional circumstances and do not have an experience assessment I have provided prior FRACGP/FACRRM exam results instead of an experience assessment I am applying for SAPP to respond to a declared emergency, disaster or pandemic Category A Applicants Documentary evidence of Attached Not applicable to my application exceptional circumstances If yes Documentation is from a health professional who is registered in Australia and who does not have a personal or employment relationship with my prospective employer. The document demonstrates why the medical condition requires treatment in a specific location I give permission for this evidence to be referred to Health’s Medical Advisor for comment (compulsory declaration for all exceptional circumstance claims. Category B Applicants Evidence of removal/pending Attached removal from alternate general practice program Prior FRACGP/FACRRM Attached assessment results Assessments show successful completion of at one assessment component Yes No Evidence of enrolment for Attached Not attached outstanding assessment components If not attached: Statutory declaration confirming intent to enrol and re-take outstanding assessment components when available Category C Applicants Evidence of removal/pending Attached (compulsory) removal from RLRP 2 year program Statutory declaration Attached (compulsory) confirming intent to for general practice training when available
I am applying for SAPP because of exceptional circumstances and do not have an experience assessment I have provided prior FRACGP/FACRRM exam results instead of an experience assessment I am applying for SAPP to respond to a declared emergency, disaster or pandemic Category A Applicants Documentary evidence of exceptional circumstances Attached Not applicable to my application If yes Documentation is from a health professional who is registered in Australia and who does not have a personal or employment relationship with my prospective employer. The document demonstrates why the medical condition requires treatment in a specific location I give permission for this evidence to be referred to Health’s Medical Advisor for comment (compulsory declaration for all exceptional circumstance claims. Category B Applicants Evidence of removal/pending removal from alternate general practice program Attached Prior FRACGP/FACRRM assessment results Attached Assessments show successful completion of at one assessment component Yes No Evidence of enrolment for outstanding assessment components Attached Not attached If not attached: Statutory declaration confirming intent to enrol and re-take outstanding assessment components when available Category C Applicants Evidence of removal/pending removal from RLRP 2 year program Attached (compulsory) Statutory declaration confirming intent to for general practice training when available Attached (compulsory)
SAPP%20Placement%20Request%20Form.docx