Application Form

Thanks for your interest in the CHP Program! Don´t hesitate to get in touch with us if there is anything unclear about your Application. We are glad to help!

We welcome applications for placements starting from 24th July 2016 and further! If you have other preferences, contact us on info@chpprogram.com

Application Form

My Personal Details

Great to see you are interested in the CHP Program! Please, start with filling in your personal details first. 


* = Required

My Placement Preferences

Choose the Sunday you would like to arrive to Václav Havel Airport Prague (PRG) where we pick you up. The more weeks you stay the more mentoring teams you shadow. We recommend to look closely at the description of each of the department specialties to be sure, that the ones you prefer suit you and your needs the most. It is better to choose more specialties than the number of weeks you´d like to stay. We´ll do our best to match your placement with your preferences. 

My Login Details

You will recieve the direct access to the CHP System - our student web system - where you can find a complete and always available overview of your whole hospital placement, exclusive study materials related to your specialty and also more information on the University Hospital in Motol and your mentors. Just choose a good password you´ll remember cool to access the CHP System from every device. 

Great to have you on board!

LOVE WHAT YOU DO WITH EVERY HEARTBEAT