GSL Get In Touch | Doctors wanting to locum in New Zealand

Name

Phone

Email

Country

Message

GSL Medical Recruitment
Phone: 0064 7 823 4607
Email: info@locums.co.nz

Whether you are New Zealand based, or currently overseas, planning to travel to New Zealand, we would like to help you with your plans. Please share a few details with us to get started and we will be pleased to contact you.



Title	First names *	Surname *	Date of birth


Postal address	Physical address


Home phone no.	Home fax no.	Mobile phone no.	Email *


NZMC Number	Expiry Date	Expiry Date	Expiry Date
	Provisional	General	Vocational


Current Medical Indemnity Insurance Company		Details/Number


Current Employer	Current Post	Grade	Specialty

Current Contract End Date	Current Hours of Work any 'On Call'		Any Commitments

Hospital Doctors - Locum Work Requirements (GP's see below)

Grade	Specialties


Any preferred geographical locations		Leisure activities/Interests


Proposed dates	Length of locum	Existing future commitments/Proposed plans, if any


Are you willing to travel within New Zealand?		Are you a car owner?
Yes	No	Yes	No
GP's - Locum Work Requirements

Preferred Workplace	Preferred Hours	Shifts
		Evenings	Weekends

Any preferred geographical locations		Leisure activities/Interests


Proposed dates	Length of locum	Existing future commitments/Proposed plans, if any


Are you willing to travel within New Zealand?		Are you a car owner?
Yes	No	No	No

Please list any other recruitment agencies approached regarding work in New Zealand		Please list any hospital/medical authorities you have directly approached

Curriculum Vitae

We welcome you to attach your CV. If your CV is ready, please select the option below that best suits your CV format, thank you.
Word Format		PDF Format
		Please email your PDF CV to info@locums.co.nz with a brief message that includes your name.

How did you hear about Gold Standard Locums?


I acknowledge I have read and accept this declaration	All the above information, as supplied by me, is to the best of my knowledge correct, accurate and complete. I understand that I am authorising Gold Standard Locums (GSL) to release my Curriculum Vitae and if necessary, obtain and subsequently release reference details to perspective employers for their approval prior to employment. GSL will treat all details supplied in a confidential and sensitive manner. I undertake to keep all details supplied by GSL in a confidential manner. Whilst undertaking work arranged by GSL, I will conduct myself in a manner that is appropriate for my position and will maintain high quality patient care and professional relationships. I agree that I will read the terms and conditions before commencement of employment and upon my written acceptance of those terms and conditions agree to abide by them and all other lawful rules and regulations of the company from time to time in force.

Hospital Doctors - Locum Work Requirements (GP's see below)

GP's - Locum Work Requirements

Curriculum Vitae