Local Candidate Form
Please Enter The Details Below
First Name
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Last Name
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Phone/Mobile
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Email
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What is your professional background?
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General Practitioner (GP)
Dentist
Hospital Doctor
Physician
Surgeon
Psychiatrist
Other
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How many years experience do you have?
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less than 3 years
more than 3 years
more than 5 years
more than 10 years
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Do you have any working restrictions in Australia?
What is your preferred Suburb?
What is the maximum commute time or distance you would consider?
Would you relocate?
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Yes
No
Possibly
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If so, please identify any locations or regions in Australia where you would be open to relocating to
Select all that apply
Outback
City
Coastal
Beach
Rural
Suburban
Tropical
Islands
Mountainous
Bushland
Regional
Agricultural
Urban
Remote
Indigenous communities
Tourist destinations
Mining towns
National Parks
Residential suburbs
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What pay type are you looking for?
e.g. hourly rate, percentage of billings
Hourly rate
Daily rate
Annual salary
Percentage of billings
Base plus commission
Any
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What is your ideal pay range or percentage range?
Work type
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e.g. FT, PT or Locum - select all that apply
Full-time
Part-time
Locum
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How many patients per day do you wish to see?
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1-5
5-10
10-15
15-20
20-25
25+
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Any preference on patient population? i.e. elderly, children, demographics
Do you have any plans for ongoing professional development or education?
What are some of your personal interests? E.g. Hiking, Sports, Family time
What is the most important factor that would get you to consider a new role?
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Money
Location
Patient Volume
School hours
Work / life balance
Flexibility
Specialist Area of Practice
Demographic
Practice Culture
Professional Development
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Is there anything else important to you?
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