0% found this document useful (0 votes)
37 views1 page

Education and Training Application

An applicant submitting an application for an observership or internship/clerkship at King Faisal Hospital is required to provide their contact information, identification documents, request letter, curriculum vitae, recommendation letters, clinical placement objectives, proof of payment, and for postgraduate students, their license to practice and certification of degree. The applicant must specify the duration of their placement per department and pay placement fees ranging from $100-200 USD per month depending on their country of origin or residency status.

Uploaded by

Marya Maina
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
37 views1 page

Education and Training Application

An applicant submitting an application for an observership or internship/clerkship at King Faisal Hospital is required to provide their contact information, identification documents, request letter, curriculum vitae, recommendation letters, clinical placement objectives, proof of payment, and for postgraduate students, their license to practice and certification of degree. The applicant must specify the duration of their placement per department and pay placement fees ranging from $100-200 USD per month depending on their country of origin or residency status.

Uploaded by

Marya Maina
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Education and Training Application

An applicant who wants to do their observership or internship/ clerkship at King Faisal


Hospital, will submit the following required information.

[email protected] Switch accounts

The name and photo associated with your Google Account will be recorded when you
upload files and submit this form. Only the email address you enter is part of your response.

*Required

Email *

Your email address

Provide your full names (First Name, Last name) *

Your answer

Provide a copy of your Passport/ ID  *

Add File

Provide a copy of the Student card *

Add File

Provide a request letter addressed to the Chief Executive Officer (CEO) of King *
Faisal Hospital requesting for a placement- Remember to specify the duration of
your internship in each department you want to do your placement.

Add File

Provide your Curriculum Vitae *

Add File

Provide the recommendation letter from the applicant institution *

Add File

Provide the recommendation letter from the applicant institution *

Add File

Attach your clinical placement objectives  *

Add File

Please specify the duration of your placement per department you want to do your
internship

Your answer

King Faisal Payment Details

o   Elective private learners and learners from foreign countries are required to pay
a placement fee, except if waived in the agreements between KFH, R and their
institutions or if the waiver has been requested and approved by the CEO. The
placement fee is as follows:

§  Elective Foreign learners outside Africa: 200 USD or equivalent per month of
placement

§  Elective Non-EAC learners: 150 USD or equivalent per month for a placement

§  Foreigner residents or East Africa Community residents: 100 USD.

§  Elective Rwandan learners: 50,000 FRW per month for a placement

Provide the Proof of Payment of the first month of the placement as per the clinical
placement policy (Bank details above)- Please contact
[email protected] for payment modalities

Add File

For postgraduates students only, provide the License to practice

Add File

For Postgraduates students only, provide the Certification of Degree

Add File

Send me a copy of my responses.

Submit Clear form

Never submit passwords through Google Forms.

reCAPTCHA
Privacy Terms

This form was created inside kfhkigali.com. Report Abuse

 Forms

You might also like