Forms
All the forms required by trainees in their dealings with the College can be found below. Requests to the Director of Professional Affairs Assessor (DPA Assessor) require specific forms that can be found on the special requests web page.
For forms with multiple pages, please ensure that all sheets are stapled and/or clearly identified.
If you cannot find the form you are looking for, please contact the Records Management unit at training@anzca.edu.au.
Applications for the ANZCA training program and fellowship
2012 TRF (Trainee Registration Form)  200 kB |
If you intend to participate in the ANZCA training program or sit the primary examination, you must first register with the College using this form. |
| Training Agreement 38 kB |
This agreement outlines the roles and responsibilities of the trainee and the College throughout the ANZCA training program. This agreement must be submitted with the trainee registration form. |
| Application for Fellowship by Training and Examination Form (all candidates) 39 kB |
This application is completed when all training program requirements have been met and is submitted to Council for approval. It includes the Communication Consent Form and Medicare Notification. Once Fellowship has been obtained the College will notify the Australian Health Practitioner Regulation Agency (AHPRA) of admittance to fellowship. |
Payment forms
Online form 2012 Training Fee Form 169 kB |
This form is used for paying the 2012 annual training fee for those trainees in approved training, or a registration maintenance fee for those not in training. Due dates: Australia and New Zealand - January 31; Hong Kong, Singapore and Malaysia - June 30. |
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2010 Training Fee Form |
Earlier annual training fees Training fees for earlier years are set at the 2010 annual training fee level. If you have undertaken pre-2010 training and not paid a fee for that year, please use the 2010 Training Fee Form, write the year for which you are making a payment, and select the appropriate fee. |
| Payment Form 212 kB |
Generic payment form. Do not use this to pay the registration fee, annual training fee or registration maintenance fee. |
Examinations
| This form must be received by the College prior to the closing date for applications. Check your trainee profile and outstanding documentation report to ensure that you have met all eligibility requirements. | |
| Final Examination Form 138 kB |
This form must be received by the College prior to the closing date for applications. Check your trainee profile and outstanding documentation report to ensure that you have met all eligibility requirements. |
| IMGS Examination Application Form (IEX) 145 kB |
For use by international medical graduate specialist (IMGS) applicants who have been interviewed by an IMGS panel and have met all eligibility criteria. |
Assessments
| New in-training assessment form (for supervisors only) Online form ITA form (hard copy) 319 kB |
New ITA form valid for terms in the 2010 hospital employment year onwards The online in-training assessment (ITA) form should be used by all supervisors of training (SOTs). Only supervisors who do not have access to the online form should use the hard-copy form. These include:
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| New ITA Short Form (for use by consultants) ITA-SF (hard copy) 300 kBITA-SF (interactive pdf) 1.1 MB |
The ITA Short Form should be used by senior consultants to provide feedback on trainees. It is available in two formats, hard copy and electronic (interactive). The minimum requirement for the interactive form is Adobe Reader 8. For the latest version of Adobe Reader, click here. For further details on the new ITA process see the ITA frequently asked questions page. |
| Approved Vocational Training Form 131 kB |
AVT form valid for all hospital terms prior to June 2010 Note: This form cannot be used for hospital terms after the 2011 hospital employment year. A new ITA form must be submitted. To have training accredited for hospital terms prior to the 2010 hospital year, you must submit an AVT and have it signed by the supervisor of training who was responsible for oversight of your training at the given hospital. For further information, please contact the ITA Officer at ITA@anzca.edu.au. |
Modules and EMAC/EMST
| Module Completion Form 131 kB |
This form should be completed and returned to the College at the completion of each module. |
| Formal Project Registration Form (FPA) 168 kB |
This form should be used to register a formal project and to seek approval and advice from the formal project officer via the regional/national office. |
| Formal Project Completion Form and Supervisors Report (FPB) 168 kB |
This form must be submitted at the end of the formal project to the regional/national office with which the project was registered. |
| EMAC and EMST courses | Website link for information on the Effective Management of Anaesthetic Crises (EMAC) and the Emergency Management of Severe Trauma courses (EMST). |
Trainees
