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ELS Locum Registration Form

Locums take a rural break.......and get paid!

 

 

Be part of a new rural emergency locum service and Pharmacy Guild initiative.

If you are a Pharmacist

If you want great pay

If you can get away for a maximum of 7 days

Then you can be an emergency rural locum.

Get to see parts of Australia you only ever dreamed of visiting and be part of a long overdue community service helping fellow pharmacists to cope when an emergency occurs

  • Nothing to organise just pack your bag
  • Travel and accommodation all organised and paid for
  • Take a break; it's practically an outback holiday with top pay

Just fill in the form below & return to signify your interest and we'll ring you.

I'd like to be an ... "Emergency Rural Locum"
*First Name:
*Last Name:
Address:
State:
Postcode:
Home Phone:
Business Phone:
Mobile Phone:
Fax:
Email:
Nominated Months
Please nominate in order of preference (1,2,3...) which month or months best suit you to get away and act as an emergency locum		  
January 2009
February 2009
March 2009
April 2009
May 2009
June 2009
July 2009
Can you leave for an emergency post in 24 hours? Yes    
No    
Not sure. I need more detail    
QCPP Accredited Yes    
No
States in which you are registered NSW    
QLD    
VIC    
WA    
NT    
TAS    
ACT    
SA    
Registration Numbers:
Do you have an ABN? Yes    
No
Curriculum Vitæ
Please attach a copy of your current CV:
(We only accept MS Word and Adobe PDF documents)
Please attach a current photo:
(We only accept JPEG and TIFF files)
  
I have read and understood the
terms and conditions below.		 I agree
I do not agree
 

Terms and Conditions

Please read the following carefully. You are required to signal your acceptance of these Terms and Conditions before submitting an application.

  1. The applicant will notify The Pharmaceutical Locum Company Pty Limited (PLC) immediately if an employer either employs, or attempts to employ, in any permanent or temporary capacity, an applicant who has been referred by PLC to the client within the previous 12 months, whether or not the applicant has been employed there previously.
  2. All communications about positions available are to be held confidential and details are not to be passed on to fellow pharmacists or employers.
  3. It is the aim of PLC to refer candidates to reputable and ethical employers; however, PLC does not take responsibility for the professional conduct of the employer or the conduct of the employer’s business.
  4. The applicant is never an employee of PLC and hence has no authority to act for or on behalf of PLC.
  5. Wages will be paid by the employer, and are not the responsibility of PLC.
  6. The applicant gives PLC permission to contact the Referees listed on either the Applicant Details form or the applicant’s résumé, for the purpose of obtaining information relating to previous employment. In addition, the applicant gives consent to our agency copying and printing the applicant’s résumé for its own records and for forwarding onto prospective employers where applicable.
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