Clinical Electives Application Process



To apply for a Clinical Elective at Epworth, you will need to submit an application form and supporting documentation to the Elective Coordinator as outlined below.


Part A  -  Documentation


Please forward the following documents to the Medical Undergraduate Student Coordinator:

  1. Clinical Elective Application Form                                 

  2. Home Institution Approval & Certification Form                

  3. Confidentiality Agreement - Medical Students                      

  4. Supporting insurance documents                                                              

  5. Curriculum Vitae/Resume                                                                             

  6. Passport photo                                                                                               



Postal Address


Medical Undergraduate Student Coordinator - Elective

Epworth HealthCare – Mail Box 11

89 Bridge Road

Richmond VIC 3121





Part B  -  Application Payment & Placement


Step 1  -  Application Fee


An invoice will be sent for a $200AUD application fee.


This deposit is non-refundable and does not guarantee an elective placement.


Step 2  -  Upon success of your application


If your application is accepted, a letter of notification will be forwarded to you and a placement fee of $800AUD along with a $200AUD administration fee for a 4–week elective becomes payable.


Any placement of more than 4 weeks duration would incur an additional placement fee of $150 AUD per week (i.e. 5 week fee $950AUD, or 6 week fee $1,100 AUD).


Step 3  -  Upon receipt of the placement fee


A Letter of Offer will be forwarded to you, confirming your placement with Epworth HealthCare.


Please note: all up-to-date supporting insurance documents must be submitted to the Elective Coordinator prior to the placement starts.


No Clinical Electives will be processed if these requirements are not met.


Clinical Electives Application Contact


Jane Berkley – Medical Undergraduate Coordinator


Phone: 03 9426 6125