Registration Form - Preceptee

The 2026 Breast Cancer Preceptorship is a one-and-a-half-day professional development opportunity for Young Medical Oncologists and Advanced Trainees from across Australia, presented by the Medical Oncology Group of Australia (MOGA).

Participants will be provided with registration, all course materials, daily catering and the opportunity to connect with colleagues at a Networking Reception.

By completing your online registration, you agree to the Terms and Conditions outlined below, as well as MOGA’s Privacy Policy. If you require any assistance with your registration, please do not hesitate to contact the MOGA Secretariat at moga@moga.org.au

Terms and Conditions

Booking Fee

This program is offered free of charge to MOGA Young Medical Oncologists and Advanced Trainee Members. A refundable deposit of $150.00 plus GST is required at the time of registration to secure your Preceptee place.

The deposit will be refunded following full participation in the Preceptorship. Please note that deposits are non-refundable where there is partial attendance.

Places are limited to 35 Preceptees and are available to MOGA members only.

Application Requirements

As part of your registration, please upload:

Your current CV, including a list of publications
A 3–5 slide presentation outlining a clinical case

Cancellation Policy

If you are no longer able to attend, please provide at least 72 hours’ notice to moga@moga.org.au. This will allow us to offer your place to another applicant. Deposits are non-refundable for cancellations received within 72 hours of the program or for non-attendance.

Travel Support

Travel and accommodation support is available for interstate and regional participants. The level of support will vary depending on your location. For more details, and to apply, please click here.

Contact Details

Title

First Name

Last Name

Position

Organization

Mobile

Email Address

Verify Email Address

Additional Emails

Primary Address

Street Address

City

State

Postcode

Country

We'd love to connect with you!

X (formerly Twitter) Handle

LinkedIn URL

At the close of Day 1, we warmly invite all delegates to join us for a Networking Reception. This is a wonderful opportunity to continue conversations from the day, connect with peers and program sponsors, and enjoy a relaxed end to the day. Canapes and drinks will be served.

Venue to be announced!

Fri, Nov 27, 2026 5:30 PM - 6:30 PM

Sorry, I can't attend

Sorry, I can't attend

Yes, I will attend

Yes, I will attend

Please upload your supporting documents.

Your current CV

3–5 Slide Presentation

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Preceptee Registration Form

Contact Details

Primary Address

We'd love to connect with you!

Are you a MOGA Member?

Travel Support

Do you require Travel Support?

Registration

Networking Reception

Please let us know if you have any dietary requirements.

Supporting Documents

Please upload your supporting documents.

Summary

Registration Rate - $150.00 + GST

Terms and Conditions

Payment

Thank You