FRCA Affiliate Examinership application form

Check your eligibility here.

CVs are not required.

The selection process for Affiliate Examiners

  1. The application window closes on 30 November at midnight.
  2. On closing, applications are anonymised and sent to members of the Examination Committee for scoring.
  3. A passing mark is derived, and a shortlist agreed at the Examinations Committee in January 2024.
  4. References will be requested for those applicants who have been selected to go forward.
  5. The final list of successful applicants will be conferred at the Education, Training, and Examinations Board in April 2024.
  6. Successful applicants will be informed by email shortly after the Board meets.
  7. Training will take place in May 2024 - date to be advised.


I am a Fellow of the College
I am in good standing with the College
I hold full registration, without limitation, with the GMC

Qualifications (including CCT if applicable) with dates

Please note that to ensure anonymity the details below are removed from application forms prior to being despatched to the examinations committee to carry out the scoring and selection process.

Training grade

Current appointment (including date of appointment)

Previous relevant employment


It is desirable that applicants are able to demonstrate the involvement in written and electronic publications that are of particular relevance to training/education and basic sciences of anaesthesia.

Please state three of your most recent publications in the section below. To ensure anonymity, do not enter your name in the list of authors, the panel will presume you are involved in the publications listed.

Equal opportunities training (within the last three years)

Please provide date(s) and upload a copy of the certificate of completion below.


Allowed types: gif, jpg, png, bmp, txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx
Allowed types: gif, jpg, png, bmp, txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx

Please provide the contact details of your clinical director and regional adviser, both of whom will be asked to provide structured references

I have read the person specification and job description and believe I meet the essential requirements for this role.

I have spoken with my trust regarding applying for this role and I would be able to commit to at least six days per academic year.

I confirm that I do not have any restrictions or warnings against me practising medicine within the UK.
Please sign above using your mouse or finger (if using a touchscreen device).

I am interested in the Member Engagement Panel*:
*The Membership Engagement Panel is an online virtual panel of membership that receive surveys and opportunities to share feedback to the College and help us shape future strategy and work.

Equality, diversity and inclusion

We have a strong commitment to equality, diversity and inclusion within the College, and these principles are embedded into our values and the way we work. It is for this reason that we are working hard to create and foster the proper representation of ethnic minority, gender and other groups that share protected characteristics in the work of the College and wider specialty. In order to achieve this we are conducting wide-ranging projects to obtain the necessary data to underpin a strategic, supportive and open approach to EDI.

To help us do this, we encourage you to complete the following questionnaire on ethnicity, diversity and inclusion as this data will help us:
  • develop a more detailed picture of our membership profile so we can consider and address areas of under-representation
  • better understand the needs of our Fellows, Members and stakeholders
  • inform strategic planning and policy reform to improve equality, diversity and representation across our work
  • assess the impact of our initiatives and;
  • promote, develop and foster positive relations between different groups.
In line with the Data Protection Act 2018 (C.12), the College will always keep your information safe and stored appropriately. Please see our Privacy Policy for further details. You can request for your data to be deleted if you change your mind.

The College is determined to create a more inclusive environment at all levels where differences are valued and respected.

PLEASE NOTE: If you have provided the below information previously and your details have not changed, you are not required to complete this form.

Ethnic groups are based on the Census 2021 categories
If you are considering how to answer, use the sex recorded on your birth certificate or Gender Recognition Certificate.
Do you consider yourself to have a disability according to the terms given in the Equality Act 2010?
The Equality Act 2010 protects people with disabilities. The Equality Act 2010 defines a person as disabled if they have a physical or mental impairment, which has a substantial and long term (ie has lasted or is expected to last at least 12 months) and adverse effect on the person's ability to carry out normal day to day activities.
Do you have carer responsibilities?
Is English your first language?


Data Protection Statement

The Royal College of Anaesthetists (RCoA) is fully committed to the principles of data protection, as set out in the Data Protection Act 2018 (C.12). The RCoA relies on legitimate interests as the lawful basis for processing of personal data. We process and maintain personal data about you so that we can manage your membership, provide you with appropriate products and services and share information with you about RCoA activities.

We will only use your information for the purposes as described and will not pass on your details to other third parties unless you have given us consent to do so.

We use appropriate organisational and technical measures to ensure that your data are secure and protected from loss, misuse and unauthorised access or alteration.

You have the right to ask for a copy of the information we hold about you and to have any inaccuracies in your information corrected. If you have any questions about data protection or require further information, please email

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