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CareFlight Medical Services Recruitment Application Form
Please complete the appication form as accurately as possible.
* = Required
*
Surname:
*
Given Names:
*
Date of Birth:
*
Nationality:
*
Phone Number:
*
Email Address:
Previous Australian Medical Registration
Yes
No
*
Previous Australian VISA
Yes
No
Referee 1
*
Name:
*
Phone :
*
Email:
Referee 2
*
Name:
*
Phone:
*
Email:
*
Fitness:
Walk 2.4k < 20 min
Push up 20
Sit up 20
Swim 400m
Basic Qualifications:
*
Date
*
Institution
*
Place
Advanced Qualifications:
*
Date
*
Institution
*
Place
*
PGY
Select One...
3
4
5+
*
Experience:
Pre Hospital Care
Road Retrieval
Fixed Wing Retrieval
Helicopter Retrieval
Winch Training
Helicopter Underwater Escape Training
*
Skills:
IV Peripheral
IV Central
Intubation – adult
Intubation – paediatric
Surgical airway
Inotrope management
Multitrauma management
*
Departmental Experience:
Anaesthesia – paediatric
Neonatal critical care
Emergency Department
Intensive care – adult
Intensive care – paediatric
Anaesthesia – adult
Obstetrics
*
Courses:
ATLS / EMST
ACLS
PALS
Disaster Management
Comments:
Attach Your Résumé:
[SEND APPLICATION TO CAREFLIGHT]
2007 careflight group|
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