Doctor of Medicine (MD) project expression of interest

This form is to confirm and consent to be contacted by the School of Rural Medicine research team.

Users of this website are entitled to expect that Charles Sturt University will treat any information provided within the terms of relevant privacy responsibilities.
https://about.csu.edu.au/our-university/publications-policy/legal.
https://www.csu.edu.au/division/vcoffice/ogca/complaints-grievances-whistleblowing/university-ombudsman/privacy.
Once you've submitted your expression of interest, the research team will contact you through your preferred contact number. If you're eligible, we'll organise an interview time with you and you'll be sent a link to a consent form via email or text. You'll need to complete the consent form prior to the interview taking place.

Project details

Project name

Your details

First name

Last name (optional)

Mobile number

Other contact number (optional)

Email address

Preferred method of contact Email, phone call, text/sms, etc.

Confirmation I confirm that I have read the Participant Information Sheet for the above noted project.

Yes, I have read the appropriate participant information sheet.
No, I haven't read the participant information sheet

Participant consent form (if applicable) Please upload the participant consent form if applicable. This may have been provided within the Participant Information Statement.