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I am interested in becoming an FGP Ambassador
This is a form taking expressions of interest for those wanting to learn more about becoming an FGP Ambassador.
Please tell us a little bit more about yourself...
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* Indicates required question
Email
*
Your email
My first and last name...
*
Your answer
Which state are you based in?
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Choose
Qld
NSW
ACT
Vic
Tas
SA
WA
NT
Which hospital are you based in?
*
Your answer
I am currently a...
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PGY1
PGY2
PGY3
PGY4
PGY5
PGY6+
HTT (with RACGP)
CCTT (with ACRRM)
GPT1 (with RACGP)
GPT2 (with RACGP)
PRRT1 (with ACRRM)
PRRT2 (with ACRRM)
Unsure
If you know your GPRA membership number, please enter it below.
If you don't know your membership number, please leave the field blank.
Your answer
I understand that the role is a voluntary (unpaid) role. I also give permission for an FGP Advisor or GPRA to contact me with more information on the role and responsibilities.
Yes
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