Discipline of Anatomy and Histology
2015 MEDICINE PROSECTION WORKSHOP
December 2, 2015 – January 12, 2016
Application Letter
Student name: _________________________________________________
Student ID number: _____________________________________________
Email address:________________@uni.sydney.edu.au
Phone number: ________________________________________________
Course(s) studied: ______________________________________________
_____________________________________________________________
Region of interest:
Forearm and hand ☐
Leg ☐
Shoulder joint ☐
I would hereby like to apply for entry in the prosection workshop 2015. I have
an interest in dissection and would like the opportunity to develop skills in this
area of study. I will commit myself to completing a specimen that will be of use
for undergraduate teaching in the discipline.
Student signature: ______________________________________________
Date: ______________
I recommend the above signed student for entry in the prosection workshop.
Anatomy tutor ______________________________________
signature: _________________________________________
Date: ______________