Medical Electives Booking Form

Please only use this form to book a medical elective. For general enquiries please use the "Contact Us" page button on the left.

All students wishing to participate in our programs must submit a completed Medical Electives Booking Form.

In order to provide students with a worthwhile experience, we limit the number of students on service. You are therefore encouraged to submit your application as early as possible, to allow time to process your request and ensure acceptance of your choice dates.

Upon completion of the application, and acceptance into the elective program, a letter of acceptance will be emailed to you and you can then make flight arrangements and take any vaccinations you may need.

Medical Electives Booking Form

Please note that all fields followed by an asterisk must be filled in.

Please complete the challenge that you see below.


  • Medical Electives Africa - Information

  • Medical School Electives (Hospitals you are likely to work in)

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