Application form for medical positions at sea

Application Form

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Name *

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Last

Email *

Phone Number *

The Position you're applying for - please choose one *

Doctor Registered Nurse Advanced Life Support Paramedic

Primary medical qualification (Degree/Diploma + institution & year completed) *

Further qualifications (Dip PEC, ICU or Trauma Diploma etc. + institution & year completed) or planned qualifications & planned date *

Medical courses & date completed (ACLS, PALS, ATLS, AMLS, BASIC, ECG, ePOCUS etc.) *

Please provide details of your Acute Medicine work (Accident & Emergency Unit/ICU etc.) over the past three years. IMPORTANT: Please mention hospital, department, dates, hrs per month and role: *

Upload CV *

Max file size: 20MB

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