Locum Work

Auckland Doctors
>Locum Work

Please complete the form below to register your interest with our bureau. Our Locum Bureau Consultant will get back to you within 48hrs to advise you how to make a full application. The fields marked with * are compulsory

Your Details

Are you you are currently working at one of the following Auckland DHBs as a permanent employee? WaitemataAucklandCounties ManukauNo

First Name * Last Name * Address 1 * Address 2 Phone * Mobile Email * ( We will keep your email safe and never give it to anybody! Promise! ) Indemnity expiry date (MM/YYYY) * ACLS expiry date (MM/YYYY) *

Employment Details

Please provide names and contact details of 3 referees for us to contact and that they must be supervising SMOs

Attach a C.V Current Position Current Employer * Previous Employer * Speciality * When did you graduate? (MM/YYYY) * Annual Practising Certificate Number * Annual Practising Certificate Expiry Date (DD/MM/YYYY) * Current Supervisor * Does your current supervisor know you are working extra hours as a locum? YesNo Which locum shifts do you want to be considered for ( ie: Monday day shifts and weekends Gen Med Auckland (DHB) ) *

Declarations I understand that the position I am applying for is subject to a number of conditions, including the following.

being legally entitled to work in New Zealand
obtaining a satisfactory Occ Health clearance
where appropriate, obtaining and maintaining professional registration
receipt of two satisfactory references

I declare that to the best of my knowledge the answers provided in this application are correct, and I understand that if any false or misleading information is given or any material fact suppressed I will not be accepted, or if I am employed my employment may be terminated. I consent to ARRMOS Locum Bureau contacting my current supervisors for the purpose of collecting a reference and am willing to have my application shared with the DHB's I would like to locum for.

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Locum Work

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