2025/2026 Victorian Student Summer Placement application Form

Thank you for your interest in applying for a 2025-2026 Victorian Student Summer Placement. Please use this form to complete your application. For details about the placement process and hospitals offering placements visit the AdPha Student Summer Placements page.

Important points: You can only submit ONE application. Check the positions available at each hospital PRIOR to submitting your application. Use your official university email address only. AdPha will forward your application to preferred hospitals.

Terms and conditions:
By completing this form:
I allow AdPha to store my application details and forward to respective health services for the purposes of this application process.
I allow AdPha to contact my pharmacy course provider to verify my enrolment for the purposes of this application process.
I understand that giving false or misleading information may result in my application being cancelled by AdPha.

I agree with the terms and conditions above.*

Yes

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Email*

Contact Phone Number*

Must be an Australian phone number

Your AdPha Member Number

If you have registered for free AdPha student membership, you may enter your member number here.

Pharmacy Course Provider*

La Trobe University

Monash University

RMIT

Other

Student ID Number*

Please upload your cover letters here.*

Drop files here or

Max. file size: 100 MB.

Ensure your name and the hospitals you are applying to are clearly identified in the file name of the uploaded files

This field is hidden when viewing the form

Please upload your cover letter here.*

Max. file size: 100 MB.

Ensure your name is clearly identified in the file name of the uploaded files

Please upload your CV here.*

Max. file size: 100 MB.

Ensure your name is clearly identified in the file name of the uploaded files

Year of study*

1st year – or will be intern in 2029

2nd year – or will be intern in 2028

3rd year – or will be intern in 2027

First, second year, etc above relate to four-year degrees. If your degree is not 4 years, then select the option that aligns with your expected year of internship.

Previous summer placements completed

Please list any placements completed. Note this does not include placements organised by your pharmacy course provider

First preference*

Second preference*

I agree to: AdPha contacting my pharmacy course provider to verify my enrolment for the purposes of this application process; To having my details stored and forwarded on to the respective health services for the purposes of this application process; I declare that all information provided is true and correct.

Application terms and conditions*

I agree to the application terms and conditions.

I agree to receiving further education and membership information from AdPha

Victorian Summer Student Placement application Form