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IMG SOS APPLICATION FORM
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Name
*
First
Last
Gender
*
Male
Female
Non-binary
Email:
*
Phone
*
Address
*
City
State / Province / Region
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
What describes your situation best?
*
You have not started
You passed the AMC
You are not an IMG
You are a RACGP trainee
You are a RANZCP trainee
You are an ACEM trainee
You are a RACP trainee
You are a RANZCOG trainee
You are on a pharmacy pathway
Other
What university did you graduate from?
*
Please give hints about your work experience, any courses you've taken before and past exam attempts if any
*
Which course are you interested in?
*
AHPRA Penalty
AMC Clinical
AMC MCQ
FACEM – Primary
FACEM – Fellowship
FACRRM
FRACGP (AKT / KFP)
FRACGP (CCE/OSCE)
FRACP – DWE
FRACP – DCE
FRANZCOG – Written
FRANZCOG – Oral
FRANZCP
PEPEA / CAAKT
PESCI
Pharmacy KAPS
Pharmacy Oral
中国 AMC MCQ
Visa & Migration
Other
Which area?
Adult RACP
Paediatric RACP
Which examination provider?
*
ACRRM
RACGP
IME
RWAV
Other / Unsure
What are the 3 main difficulties in your exam preparation?
*
What will happen if you don't pass the exam?
*
On a scale of 1-10, how serious are you in your study and achieving your ultimate goals?
*
1
2
3
4
5
6
7
8
9
10
How would you feel if you passed the exam because you'd taken a course with us?
*
If our course has made you ready for the exam, how likely will you recommend us to others?
*
What are the features of our courses that are important to you?
*
The qualification and knowledge of the tutor
The option to start the course soon
The option to take the course from home
The one-on-one format
The high success rate
The focus on the important bits and pieces of the exam
The attached services such as paper work support or peer support
The online material
Preferred session times (AEST):
*
7:00 am – 5:00 pm Weekdays
5:00 pm – 12:00 am Weekdays
7:00 am – 5:00 pm Weekends
5:00 pm – 12:00 am Weekends
Any time
Indicative time windows only. Exact session times and durations will be discussed directly with the tutor(s).
Have you booked your exam? If yes, on what date?
*
When do you wish to start the course?
*
How did you find us?
*
AMC Website
Google ads
Internet search
Facebook
YouTube
Friend/Colleague
Australian Doctor
RACGP
ACEM
RANZCP
AMA
RDN
RWAV
GPRA
Medicare Local
LinkedIn
Email campaign
Previous course or webinar
Other course provider
Immigration agent
Other
Are you also interested in assistance with visa & migration matters?
*
Yes
No
Maybe
Notes or comments
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