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Register for Orientation

Preferred course date

Orientation and Accommodation Costs

Note

Attendee Details

Name(Required)

First Last

Email(Required)

Phone(Required)

Country departing from(Required)

Arrival date in New Zealand(Required)

DD slash MM slash YYYY

Length of stay in New Zealand(Required)

Employment/placement details

Name of Practice(Required)

Which PMS is the practice using?(Required)

Will the candidate have PRIME responsibilities?(Required)

Yes

Will the candidate be an(Required)

Employee

Contractor

Will the candidate be paid by(Required)

Practice

Agency

Medical Council contact, if known(Required)

Has the candidate got an IRD number?(Required)

Yes

TBC

Recruitment agency’s name, if applicable

How did you hear about this course?

Is accommodation required during the course?(Required)

Yes

TBC

Are family members staying?(Required)

(Extra costs incurred for family members will be on-charged to you)

Yes

TBC

Are contact details different from attendee?(Required)

Yes

Attendee Details

Attendee full name(Required)

First Last

Attendee Practice/organisation name(Required)

Attendee Position(Required)

Attendee Phone(Required)

Attendee Email(Required)

Course cost

Course cost(Required)

Please select one

$1970 + gst (includes one room for three nights at a nearby hotel. Price may vary dependent on hotel availability)

$1400 + gst (without accommodation)

$200 + gst (virtual orientation via Zoom, does not include resuscitation workshop)

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Apply for recruitment support

Your Practice

Is your practice rural or urban?(Required)

Rural

Urban

Practice Name(Required)

Contact Name(Required)

Contact Phone Number(Required)

(mobile number preferred)

Email(Required)

Do you or your Practice hold a PRIME Contract?(Required)

Yes

Which patient management system does your practice use?(Required)

Medtech 32

Indici

Medtech Evolution

Mypractice

Other

If your practice is rural, please state the name of the GP being covered and your reason for this request(Required)

Job Brief

What type of support are you after?(Required)

Locum/Short term (< 3 months)

Long term (3 – 12 months)

Permanent (12+ months)

If long term, is your position fixed term or permanent?(Required)

Fixed term

Permanent

Start Date for Support

DD slash MM slash YYYY

End Date for Support

DD slash MM slash YYYY

If no specific start and end date (or you are flexible), or you have more than one set of dates, please instead provide details of the cover period(s)

What position do you need?(Required)

General Practitioner

Nurse Practitioner

Rural Hospital Medicine Doctor

When do you require support?(Required)

End date

DD slash MM slash YYYY

What are the hours/sessions required per week?(Required)

Is the individual required to be on-call?(Required)

Yes

If yes, please specify on-call hours(Required)

Proposed Hourly Rate

Proposed Session Rate

Are you happy for NZLocums & NZMedJobs to advertise this rate?

Yes

Is hospital work undertaken during regular sessional hours, or in addition to the sessions required?(Required)

Yes

Is the individual required to attend PRME call-outs?(Required)

Yes

Please specify the proposed remuneration(Required)

What additional assistance can you provide?

Relocation assistance (e.g., travel costs)

Vehicle (provided or subsidised)

Accommodation (provided or subsidised)

Other assistance (e.g., MCNZ registration, medical indemnity insurance)

Applications for support are prioritised on date received. An application does not guarantee a placement. If you have any questions, call us on 0800 695 628

Consent(Required)

In submitting this form, you agree to abide by our terms and conditions

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Register with NZLocums & NZMedJobs

Personal Information

Name(Required)

First Last

Country of residence(Required)

Primary qualification(Required)

Post graduate qualification(Required)

Contact details

Mobile number(Required)

Email(Required)

Work details

Job type (drop down)(Required)

When are you available to start work?(Required)

DD slash MM slash YYYY

What type of work are you looking for(Required)

Locum/Short term (< 3 months)

Long term (3 – 12 months)

Permanent (12+ months)

Upload CV

Max. file size: 10 MB.

How did you hear about us?(Required)

CAPTCHA

Apply for recruitment support

Your Practice

Is your practice rural or urban?(Required)

Rural

Urban

Practice Name(Required)

Contact Name(Required)

Contact Phone Number(Required)

(mobile number preferred)

Email(Required)

Do you or your Practice hold a PRIME Contract?(Required)

Yes

Which patient management system does your practice use?(Required)

Medtech 32

Indici

Medtech Evolution

Mypractice

Other

If your practice is rural, please state the name of the GP being covered and your reason for this request(Required)

Job Brief

What type of support are you after?(Required)

Locum/Short term (< 3 months)

Long term (3 – 12 months)

Permanent (12+ months)

If long term, is your position fixed term or permanent?(Required)

Fixed term

Permanent

Start Date for Support

DD slash MM slash YYYY

End Date for Support

DD slash MM slash YYYY

If no specific start and end date (or you are flexible), or you have more than one set of dates, please instead provide details of the cover period(s)

What position do you need?(Required)

General Practitioner

Nurse Practitioner

Rural Hospital Medicine Doctor

When do you require support?(Required)

End date

DD slash MM slash YYYY

What are the hours/sessions required per week?(Required)

Is the individual required to be on-call?(Required)

Yes

If yes, please specify on-call hours(Required)

Proposed Hourly Rate

Proposed Session Rate

Are you happy for NZLocums & NZMedJobs to advertise this rate?

Yes

Is hospital work undertaken during regular sessional hours, or in addition to the sessions required?(Required)

Yes

Is the individual required to attend PRME call-outs?(Required)

Yes

Please specify the proposed remuneration(Required)

What additional assistance can you provide?

Relocation assistance (e.g., travel costs)

Vehicle (provided or subsidised)

Accommodation (provided or subsidised)

Other assistance (e.g., MCNZ registration, medical indemnity insurance)

Applications for support are prioritised on date received. An application does not guarantee a placement. If you have any questions, call us on 0800 695 628

Consent(Required)

In submitting this form, you agree to abide by our terms and conditions

CAPTCHA