STP initial trainee details

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 are expected to participate 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:

First Name:*

Surname:*

ANZCA registration number (if known):

Trainee Total FTE:*

FTE private setting (if 100% public, enter 0):*

Start Date:*

End Date:*

Trainee year/level:

Medical indemnity coverage:*

Yes
No

Trainee Consent Form Uploaded:

Trainee 2:(if applicable)
Please enter the full name and details of the second trainee to occupy the post.

Prefix:

First Name:

Surname:

ANZCA registration number(if known):

Trainee Total FTE:

FTE private setting (if 100% public, enter 0):

Trainee start date:

Trainee end date:

Trainee year/level:

Medical indemnity coverage:

Yes
No

Trainee consent form included :

Section 3: Personal Details:

Please enter the contact details pf the person submitting the report on behalf of the participant.

Prefix:

First Name:*

Surname:*

Title / Position:*

Location / Site:*

Email address:*

Phone Number:*

Please Enter your email if you would like to receive a copy of the form:

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.

STP initial trainee details

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