APPEL 4th Year Placement 2026 – Expression of Interest Form

APPEL 4th Year 2026 Expression of Interest

If you would like to register your Training Establishment to offer APPEL placements, please complete this form.

If your Training Establishment does not have a PSI registration number, please enter 0
If Dublin, please include district, eg. Dublin 2. Please avoid using city areas eg. Rathmines instead of Dublin 6 or Togher instead of Cork.
Practice Area
The e-mail address of the person best contacted by APPEL regarding these placements. Note that this will not be visible to students in the matching process.
Please separate area code with dash, eg. 085-1234567. Note that this will not be visible to students in the matching process.
Do you have a PSI registered pharmacist available within the organisation to act as Preceptor ?
How many 4th-Year placements is this Training Establishment offering? A Preceptor can supervise up to 3 students at the same time.

By submitting this form, you agree that you are happy to be contacted by APPEL at the supplied email address. If you have any concerns regarding this, please contact ops@appel.ie .

APPEL is committed to protecting your privacy in line with General Data  Protection Regulation 2016/679 (GDPR). Any information (e.g. name, email address etc.), which you voluntarily provide (e.g. registering with APPEL, submitting an enquiry etc.) will only be processed for the purpose or purposes they were collected for. Some of the processing may be carried out by third party service providers who only receive the information necessary to carry out specific data processing on behalf of APPEL. Adequate organisational and technical security measures, which are reviewed on a regular basis, are taken to ensure the security of your personal information. Under GDPR you have the right to withdraw your consent and the right to access your personal data held by APPEL. To withdraw your consent or access this data, please write to us at APPEL, Royal College of Surgeons in Ireland, Beaux lane House, Lower Mercer Street, Dublin 2. For further details on your data privacy rights, please refer to www.dataprotection.ie.