NextGen Medics Application Form

2026

Program Preference

Choose the program block/s which you wish to be considered for. *Dates of programs may vary slightly or change *

Program 1: Fri 19 - Sun 28 June 2026Program 2: Fri 28 August - Sun 6 September 2026Any of the above program dates

Personal Details

First Name *

Surname *

Email Address *

Mobile Number *

Date of Birth *

Age (at time of application) *

Are you of Aboriginal or Torres Strait Islander origin? *

Citizenship *

Gender: For demographic and accommodation purposes *

Residential Location *

Street address *

City *

State *

Postcode *

Country *

Education Details

1. Are you currently enrolled at an (officially recognised) university or tertiary institution studying Medicine, Allied Health, Nursing or another Health-related degree? *

YesNo

2. What is the name of the university or tertiary institute are you currently studying at? *

3. In what state/territory is your university or tertiary institute located in? *

4. What program, field or major are you studying? *

If you chose 'Other health-related degree,' please type your answer here

5. How many years of full-time equivalent course load have you successfully completed in your current Medical, Allied Health, Nursing or Health-related program? *

6. Have you completed a pre-medical or prior university equivalent program? *

YesNo

7. Are you currently on academic probation, or under any university-imposed sanctions? *

YesNo

Other Details

If you chose 'Other,' please type your answer here

2. Are you currently in the process of being charged with or pleading guilty to a criminal offence in an Australian Court of Law, or its equivalent in any location outside of Australia? This includes but is not exclusive to child-protection and/or child-related offences. This does not relate to traffic infringements or drink driving charges. *

YesNo

3. Are you currently up to date with the current Queensland Health vaccinations, in order to participate in practical placement in medical practices, hospitals and other health service locations? *

YesNo

4. Do you have any specific dietary requirements? *

YesNo

If you chose 'Yes,' please specify here

Selection Criteria

The following questions are to be answered in a typed Word or PDF document and uploaded for review. Your submission is to be no more than 300 words and one page in length.

Please address the following areas within your submission:

Your reason for applying and what you are hoping to learn by participating in the program;
What unique contribution you can offer to the program.
Provide examples of when you have worked well within a team and your ability to adapt to changing circumstances.

Upload a 1-page Word or PDF document which complies with the specifications above. *

Browse

Upload a Word or PDF of your resume. *

Browse

Health Acknowledgement

I confirm that I am vaccinated against or have natural immunity to the following preventable diseases:

Hepatitis B
MMR (Measles, Mumps, Rubella)
Varicella (Chicken Pox)
Pertussis (Whooping Cough)
Influenza A (annual immunity)
TB (Tuberculosis) - completion of TB Risk Form initially

*

I can provide evidence upon enrolment to demonstrate up-to-date immunisations or natural immunity in line with the Australian Government and Queensland Health.

*

I acknowledge the robust nature of the NextGen Medics Program and understand that participating in this program will require travel and work observations over lengthy, daily periods. If there are any current or past health or other conditions or concerns, which will hinder my ability to participate fully in the program at all times, including physical exercise, working in semi-confined spaces, travelling long distances or elsewise, these will be raised by me and discussed with the Program Coordinator, at interview stage.

*

Attendance Confirmation

I can commit to the whole NextGen Medics program and 100% attendance over the block of the specified dates. Full attendance is required. There is no opportunity for flexibility. Please ensure you are available during the program date/s selected, including the Graduation Ceremony date BEFORE submitting your application.

*

I acknowledge and agree that should I be accepted into the NextGen Medics program, I am recognised as a NextGen Medics Alumni and Heart of Australia Ambassador. Within this role, I am to uphold the values of the Heart of Australia organisation and positively promote the program during its duration and thereafter when promoting the program.

*

I acknowledge that if I am successful at being offered a place with the NextGen Medics program, I will be asked to pay a non-refundable $200 program fee. This fee will be redeemable against the purchase of a Heart of Australia Gala dinner ticket. The Gala will be held on Saturday the 24^th of October in 2026 at the Royal International Convention Centre in Brisbane.

*

I understand that the Gala plays a significant part within the collaborations of Heart of Australia and is a place where sponsors, alumni, health partners and staff can connect and celebrate the contribution we make together, to rural and remote healthcare. *

I confirm that all the information provided is true and correct to the best of my knowledge and acknowledge that any false or misleading information may result in my application being withdrawn.

*

Required Documentation

If your NextGen Medics application is shortlisted, you will be required to sign a Confidentiality Agreement and submit clear copies of your current Student ID, current Driver's Licence/Passport, and Immunisation Statement History.