Placement Intention Form 2016 – Concurrent Placement

Congratulations on being made a placement offer by a Training Post for your 2016 placement. GP Registrars must notify NTGPE of their placement intention and offer they intend to accept for 2016 by filling out the below details. Upon receiving this information we will get back to you within two business days to confirm if this meets your individual training requirements. 

Completing this form indicates that you are accepting a Concurrent placement term ie: you are undertaking 2 part time placements at the same time.

Please indicate your commencement date below.
If your commencement dates are different to the Terms indicated below please indicate your dates and the reason.

Term 1 - 18/01/2016 to 17/7/2016

Term 2 - 18/7/2016 to 15/1/2017

Please indicate how many FTE days you will be working including practice based teaching and on which days

By completing a Placement Intention Form for a Concurrent placement you confirm that you have discussed the following with both clinics