Apply for National Intern Training Program

Please note that this form must be completed and submitted in a single session. You will receive email confirmation once the form is successfully submitted. Please ensure that you read the course requirements and National Intern Training Program Frequently Asked Questions before completing the form.

Personal details

Title *
Given name (legal)*
Preferred name
Last name*
Gender *
Date of birth (day/month/year)*
Home address*
Home address 2
Suburb or town*
State or Territory *
Postcode*
Email(valid email required)
Phone (if not mobile, include area code)*
If you are a PSA member, or have bought a book or attended an event with us, please put your PSA number in the box below. If you have a number but can't remember it, put 0.

Origin

Diploma of Management unit enrolment

The PSA intern training program contains the unit Manage People Performance (BSBMGT502B) from the Diploma of Management (BSB51107). Please tick the box to formalise your enrolment to this unit.*

Language details

Disability

About your internship

About your pharmacy qualification

In which year did you complete your pharmacy qualification? *
Where did you complete your qualification? *
AHPRA provisional registration number (if available). Enter all numbers after PHA

Course and orientation options

I would like to enrol in: *
PSA’s fast track option enables you to complete the intern training program at your own pace. Do you wish to fast track the program? *
Please indicate the orientation serssion you would like to attend

Declaration

I will submit a completed NITP training plan and agreement
I will submit a completed payment form
I will submit a copy of evidence of my eligibility to graduate with a BPharm/MPharm or evidence of my successful completion of the APC Skills Assessment (for overseas applicants).
I have read the NITP refund policy and course requirements prior to enrolment and I hereby agree to abide by the policies and procedures of the Pharmaceutical Society of Australia Ltd
I authorise the Pharmaceutical Society of Australia Ltd to release information regarding my enrolment to my employer, any Government department and other parties when the Pharmaceutical Society of Australia Ltd is legally obliged to do so.
Thank you for your enrolment. Please confirm you have completed the form accurately before submitting.

PSA membership

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