• Fellowship Application Form

    Fellowship Application Form

    Please complete this form to apply to become a Fellow of The Australasian College of Phlebology.
  • Applicants for Fellowship are required to meet the requirements outlined below. Please provide a cover letter detailing how you meet the criteria and provide evidence with your application. Please also attach a copy of your current Curriculum Vitae (CV).


    Fellowship Criteria

    1.  Was a current Fellow of the Australasian College of Phlebology Incorporated at the date of registration of this Company; OR

    2.  Completed the Fellowship training program of the College and has met all of the training requirements of the College; OR

    3. May be obtained by application to the College and awarded at the discretion of the College Board. The Applicant will be required to satisfy the following criteria:

    a.    Demonstrate current recognition as a Specialist in one or more fields related to phlebology e.g. Surgery, Interventional Radiology, Dermatology, Vascular Medicine and Haematology. Consideration may also be given to applicants possessing special qualifications in related scientific fields, and

    b. Demonstrate currency of practice in Phlebology or a related field as evidenced by submission of a summary report of such activities during at least the preceding twelve months, and

    c.  Applicants who meet the criteria–a - b above may be required to sit an examination and/or interview as determined by the Board.

     

    Affiliate Fellow Criteria
    A person in a related field to Phlebology and is otherwise not entitled to be described as a Phlebologist.

    Requirements for eligibility for and admission to membership
    The Board may by a two- thirds majority of the members, elect as an Affiliate Fellow of the College a person who is a medical practitioner in a related field to Phlebology and is a person who is registered as a Medical Practitioner anywhere within the Commonwealth of Australia or New Zealand and is otherwise not entitled to be described in accordance with the Rules of the College as a Phlebologist.

    Voting Rights
    No voting rights. Cannot propose or second motions. Cannot be elected to the Board.

     

    International Fellow Criteria
    A Medical Practitioner who works and resides outside of Australia, New Zealand, Papua New Guinea or Fiji and has reached the equivalent standard in training and experience as that of a Fellow practicing and residing in either Australia, New Zealand, Papua New Guinea of Fiji as at the date of the Board’s determination.

    Requirements for eligibility for and admission to membership
    The Board may by a two- thirds majority of members present, elect as an International Fellow of the College a Medical Practitioner who works and resides outside of Australia, New Zealand, Papua New Guinea or Fiji and has reached the equivalent standard in training and experience as that of a Fellow practicing and residing in either Australia, New Zealand, Papua New Guinea or Fiji as at the date of the Board’s determination.

    Voting Rights
    No voting rights. Cannot propose or second motions. Cannot be elected to the Board. 

  • Application

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  • The fees listed below are the membership fees once approved. If accepted you will be invoiced for the relevant annual fee. You will only be charged the application fee of $110.00 when applying.

     

    International Fellows $230.00

    Affiliate Fellows $230.00

    Fellows $1,855.00

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          International FellowIncluding GST
          $110.00AUD
            
          Affiliate FellowIncluding GST
          $110.00AUD
            
          FellowIncluding GST
          $110.00AUD
            
          Subtotal
          $0.00AUD
          Tax
          $0.00AUD
          Total
          $0.00AUD

          Credit Card
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