2022 application form - School of Clinical Medicine

Applications for the 2022 incoming elective programme will be open from Monday 29th March 2021 at 8am and will stay open until all blocks are filled.

We welcome applications from UK based medical students for all blocks in 2022 but can only consider applications from overseas medical students for blocks 5 to 8 . Please note we do not currently accept applications from students from red listed countries.

Please make sure to have all relevant documents at hand prior to starting your application.

Stage 1 Application form for 2022 Cambridge Elective Placements

1 Introduction

2 General Information

3 Medical Education

4 Elective Preferences

5 Documentation

6 Submit

This is Stage 1 of the application process for a 2022 Cambridge Elective Placement. Data collected will only be used in relation to your application and complies with Cambridge University's data protection policy. Please see School of Clinical Medicine - How we process your data.

This application will be open until we have filled the places for the available blocks. We recommend that you submit your application at the earliest possible opportunity.

Before proceeding with your application please make sure that you are familiar with the Application Stages, and the Entry Requirements and Fees.

During Stage 1 of the application you will be asked to choose your date and speciality preferences and to upload the following documents (which must be scanned originals). We would recommend that you have this information ready before you proceed as you cannot save your application and return to it at a later time.

Medical Transcript

A scanned original of your University Transcript on headed paper, and that has been stamped with the official stamp of your University. This must be your complete Academic Transcript. We are unable to accept any alternative documentation such as results statements.

Reference from the Dean of your Medical School

A scanned original that has been signed by the Dean, or another appropriate member of senior staff, from your University and has been stamped with the official stamp of your University. If you are from a non-majority English speaking country and hoping to use this letter as proof of English proficiency, please make sure that it clearly specifies that your course has been taught and assessed entirely in English.

Application Fee

One you have submitted your application, you will receive an email notification containing a link to our payment form. You must follow this link and pay the application fee. The fee is £60 per student. If your home University is in the UK or in a Hinari A country, you are exempt from paying the application fee (please see https://www.research4life.org/access/eligibility/ for the list).

Any student who we have no receipt of payment for will have all of their applications rejected. Note that you may apply for more than one Block, but you are only required to pay the application fee once. Once you have paid, all applications under your name will be processed and considered.
I have read and understand the above information.*
- I agree
I confirm that I have read and meet the entry requirements.*
- I agree

Name*
First Last
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone*
Gender*
Date of Birth*
Date Format: DD slash MM slash YYYY
Please list ALL of your nationalities in the box below*
We request all nationalities to determine if you will require a visa.
If you are travelling from a country outside of the UK & Ireland, you will require a visitor visa. We would recommend that you visit the following websites for further information about visas.

GOV.UK Website

University International Student Team

Name of Medical School*
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Expected Date of Graduation*
Date Format: DD slash MM slash YYYY

Please note that the date you input here must coincide with the one on your reference letter.

Elective Placement Preferences

In the boxes below please indicate which elective placements you would like to do, in order of preference, using the placement number which can be found on the 2022 Specialties and Dates page. The placement number indicates to us which specialty you would prefer and which dates you would prefer. Without this information you may not be allocated to a placement within the date period that you require.
1st Preference. Please state Placement Number*
2nd Preference. Please state Placement Number*
Your 2nd preference MUST BE from the same block as your 1st preference.
3rd Preference. Please state Placement Number*
Your 3rd preference MUST BE from the same block as your 1st and 2nd preferences.
4th Preference. Please state Placement Number*
Your 4th preference MUST BE from the same block as your other preferences.
5th Preference. Please state Placement Number*
Your 5th preference MUST BE from the same block as your other preferences.

In order to complete your application we require the following documentation to be uploaded.

The requested documentation must meet the entry requirements. Any applicants who do not meet these requirements will not be considered for a Cambridge Elective Placement.

Please note that we require scanned originals of all documents.
Medical Transcript
Please note that we are only able to accept a scanned original of your full University Transcript/Academic record. The Transcript must be stamped with your University's official stamp.
Click here to upload a copy of your Medical Transcript*
Accepted file types: jpg, gif, png, pdf.
Reference from the Dean of your University
We request this information to ensure that you possess the right skills to undertake a Cambridge Elective Placement, and have the support of the Dean of your University. The reference letter must be on headed paper, stamped with the official stamp of your University and signed by the Dean or another appropriate member of senior staff. If you aim to use this document as proof of English proficiency, please ensure that it clearly states that your course has been taught and assessed entirely in English.
The following information must be included in the reference letter:
- Assessment of Character & Conduct
- Assessment of academic ability
- Knowledge of English Language - written and spoken
- Confirmation of their support of your application
- Confirmation that you will be within your final 18 months of study at the time of the elective placement
- Expected date of graduation (month/year)
Click here to upload your University reference letter*
Accepted file types: jpg, gif, png, pdf.
English language certificate
We request this information to ensure that you possess the required level of English to undertake a Cambridge Elective Placement and communicate with patients and staff.
The language certificate you upload must be less than 2 year old from the start of your placement.

NOTE 1: If you possess a passport from an English-speaking country (eg: Australia, UK, an English province in Canada), you are exempt from providing a certificate and would need to attach a coloured copy of your passport instead

NOTE 2: If you completed a qualification equivalent to at least a UK Bachelor's in an English-speaking country within 30 months prior to your elective start date, you may wish to attach a copy of that qualification instead.

Note 3: If you are studying in a non-majority English speaking country but that your entire course has been taught and assessed in English, you may wish to provide a letter from your Dean clearly stating this instead. You will still be required to go through an in house English assessment if you get shortlisted for Stage 2, at a cost of £85.
Click here to upload your proof of English proficiency*
Drop files here or

Accepted file types: jpg, gif, png, pdf.

Stage 1 Application form for 2022 Cambridge Elective Placements

Medical Transcript

Reference from the Dean of your University

English language certificate

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