Clinical Placement Application Form - Auditory Implant Service

If you are interested please complete the following application form.

USAIS Clinical Placement Application Form

Application form for clinical placements within our dynamic multi-disciplinary team at USAIS.

Name*
First Last
Address
Street Address Address Line 2 City ZIP / Postal Code Country
Email*
How would you describe your standard of written and spoken English?*
Please describe your qualifications and experience in this area*
Please note: you will need to submit evidence using the upload documents section below.
Upload documents*
Drop files here or

Max. file size: 128 MB.
Student both UK and international need to submit their academic record and a letter of reference from their training institution.

The placements are competitive and applicants are therefore not be guaranteed a placement. Applications are reviewed by a panel comprising of the Director of USAIS, the Academic Coordinator of USAIS and where appropriate the MSc Coordinator of the Hearing and Balance Centre, University of Southampton.

For more information, please contact Dr Nicci Campbell (USAIS Academic Coordinator) N.G.Campbell@soton.ac.uk