Elective Application Form

To apply for an Elective in Tanzania through the Kilimatinde Trust, please fill in the form below copying your CV into the appropriate box.

The Trust requires that all Medical Elective Students attend a briefing before they travel. These briefings will be held frequently over Zoom and we will email you the details 

If traveling in a group please fill in a form for each member of the group

The Kilimatinde Trust does not charge for an elective placement but we invite you to make a donation towards the trusts work. We suggest a donation of £120 would be appropriate.

Please make the donation to Lloyds Bank Hartlepool.

Sort Code: 30-99-47  Account No. 00809689   With Reference:  Elective Donation and your Name     

Iban No GB52 LOYD 3099 4700 8096 89 and the Bic No LOYD GB 21438 if required

Please note that under GDPR by filling in this form you are authorising us to contact you with regard to your elective. None of your details will be used in any other way unless you authorise it.

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