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Hospital Application for Clinical Training Form</a></li> </ul> <p> </p> <p>Brockville General Hospital requires the <a href="https://www.brockvillegeneralhospital.ca/en/careers/clinical-rotations-and-electives.aspx" target="_blank">BGH Electives Application Form (Application for Clinical Training)</a> be completed by all Medical trainees at least 4 weeks before their clinical experience commences. All application forms are to be accompanied with a recent photo and proof of immunization (<em>Note: proof of TB test within the past year is needed</em>). The Brockville General Hospital requires that each student meets all of the requirements as summarized here - <a class="file file--mime-application-pdf file--application-pdf" data-entity-type="file" data-entity-uuid="114d0726-4184-4bf0-a2dd-2e1a2f7500a3" filename="Appendix B Pre-Placement Communicable Disease Screening Form.pdf" href="/sites/default/files/inline-files/Appendix%20B%20Pre-Placement%20Communicable%20Disease%20Screening%20Form.pdf">Communicable Disease Screening Requirements</a>.<em> </em></p> <p><em>Failure to submit a completed Electives Application form along with all supporting documentation at least 4 weeks in advance of the proposed rotation start date will result in Brockville General Hospital cancelling your rotation.</em><br> <br> Please return completed Electives Application Form and all supporting documentation by email to <a href="mailto:kstone2@brockvillegeneralhospital.ca">kstone2@brockvillegeneralhospital.ca</a>.<br> If you have any questions regarding the form please contact:<br> <br> Katie Stone<br> Education Assistant<br> Email: <a href="mailto:kstone2@brockvillegeneralhospital.ca">kstone2@brockvillegeneralhospital.ca</a> <br> Telephone: 613-345-5649 ext 51499<br> </p> </div> </div> </article> </div> </div> </div> </div> </div> </div> <!-- Sidebar Left --> <!-- End Sidebar Left --> <!-- Sidebar Right --> <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12 sidebar sidebar-right theiaStickySidebar"> <div class="sidebar-inner"> <div class="region region-sidebar-right"> <nav role="navigation" aria-labelledby="block-mainnavigation-9-menu" id="block-mainnavigation-9" class="block block-menu navigation menu--main"> <h2 id="block-mainnavigation-9-menu"><span>Regional Education</span></h2> <div class="block-content"> <div class="gva-navigation"> <ul class="clearfix gva_menu gva_menu_main"> <li class="menu-item "> <a href="/academics/regional_education"> Regional Education </a> </li> <li class="menu-item"> <a 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