STP progress report Section 1: Post details: Please enter the details of the STP post. STP Post #:* Primary location/ site:* Legal Entity: Trading Name (If different from above): Section 2: Trainee Details Please enter the details for all trainees that participated in this STP post in Semester 1 2021, including their full-time equivalent (FTE) workload. Note: FTE is the ratio of hours worked per week to the number of hours in a standard week of full-time work. If the trainee has only worked for part of the rotation, simply enter their FTE during the time they were in the post. This number will be used to determine the salary contribution which is payable according to the terms of your STP Funding Agreement. Trainee 1: Please enter the full name and details of the first trainee to occupy the post Prefix: Mr Mrs Ms Dr Prof Assoc Prof First Name:* Surname:* ANZCA registration number (if known): Trainee Total FTE:* FTE private setting (if 100% public, enter 0):* Trainee Start Date:* Calendar Trainee End Date:* Calendar Medical indemnity coverage: YesNo Trainee Consent Form Uploaded: Did the trainee meet all training requirements whilst in this post:* YesNo Did the trainee work across multiple sites?: YesNo If yes, what were the site names: Trainee 2 (if applicable) Please enter the full name and details of the second trainee to occupy the post Prefix: Mr Mrs Ms Dr Prof Assoc Prof First Name: Surname: ANZCA registration number(if known): Trainee Total FTE: FTE private setting (if 100% public, enter 0): Trainee start date: Calendar Trainee end date: Calendar Trainee year/level: Medical indemnity coverage: YesNo Trainee consent form included : Did the trainee meet all training requirements whilst in this post: YesNo Did the trainee work across multiple sites? : YesNo If yes, what were the site names: Section 3: Grant expenditure: Please enter the details of salary support grant expenditure for 2020 (GST Exclusive). This field is to reconcile salary support only. RSL and PICS are separate forms. If you did not receive any funds in 2020 please leave blank. STP Funds Received (a): Please enter your currency value eg: 2300 STP Funds Expended (b): Balance of Funds remaining (a-b = c): Other funding contributions: Other comments: Section 4: Performance data General comments: Please provide any additional comments or information you consider being of note. E.g. comments on the effectiveness, or success of the training position, any obstacles or impediments that have been experienced. General comments: Section 5: Personal details Please enter the contact details of the person submitting the report on behalf of the participant. Prefix: Mr Mrs Ms Dr Prof Assoc Prof First Name:* Surname:* Title / Position:* Location / Site:* Email address:* Phone Number:* Section 6: Declaration and signature By submitting this report, I declare that: The information in this report is true and correct The monies received, expended and claimed were appropriately allocated to facilitate the trainees filling the training positions progress on the pathway to FANZCA/FPM fellowship. These activities have been taken in accordance with the terms of the ANZCA STP Funding Agreement. I declare that above provided information is true and correct To add additional trainees please select the submit button and follow the instructions on the thank you page.