GP Candidate Form
Please Enter The Details Below
First Name
*
Last Name
*
Phone/Mobile
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Email
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Spoken to
Which classification of General Practitioner is relevant to you?
Please select
Fellowed/VR GP (Vocationally Registered)
Non-VR GP with General Registration
Non-VR GP with Limited or Provisional Registration
Non-VR GP under the Competent Authority Pathway
Non-VR GP under the Standard Pathway
Other
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What location restrictions do you have in Australia? (e.g. DPA, MM1 to MM7 etc)
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Please select
DPA and MM1
DPA and MM2 to MM7
No location restrictions in Australia
I am unsure
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How many years experience do you have?
List number of years
less than 3 years
more than 3 years
more than 5 years
more than 10 years
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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?
What is your preferred Suburb?
What is the maximum commute time or distance you would consider?
What is your availability? i.e. when could you start?
*
Please select
Immediately
1 Week
2 Weeks
4 Weeks
6 Weeks
3 Months+
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Work type
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e.g. FT, PT or Locum - select all that apply
Full-time
Part-time
Locum
Any
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How many patients per day do you wish to see?
Please select
1-5
5-10
10-15
15-20
20-25
25+
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Medicare, private or mixed billing patients?
Please select
Medicare
Private
Mixed
No preference
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What are your areas of interest in medicine?
Please select all areas of interest
No preference
Telehealth
General Family Medicine
Indigenous Health
Women's Health
Men's Health
Elderly
Children
Chronic Disease Management
Dermatology
Mental Health
Minor Surgical Procedures
Refugee Health
Sexual and Reproductive Health
Skin Cancer
Sports Medicine
Emergency Medicine
Other
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Any preference on patient population? i.e. elderly, children, demographic
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?
Please select
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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