Application Form (All fields are required)
1. Working Rights in Australia:
Which of the following statements best describes your right to work in Australia?
2. Advertising:
How did you hear about this position?
3. Medical Registration:
Do you hold medical registration for practice within Western Australia?
4. Primary Qualifications:
Please list your primary qualifications, the educational institutions and the dates completed.
5. Post-Graduate Qualifications:
Please list your post-graduate qualifications, the educational institutions and the dates completed.
6. Professional Development:
Please list the institutions and date completed for studies in Early Management of Severe Trauma, Advanced Paediatric Life Support, Advanced Life Support in Obstetrics, Aust. Certificate in Civil Aviation Medicine, Emergency Management of Severe Burns.
7. Professional Experience - Emergency Medicine:
Please provide details of your experience in emergency medicine.
8. Professional Experience - Anaesthetics:
Please provide details of your experience in Anaesthetics (dates, work location etc).
9. Professional Experience - General Practice / Primary Health Care:
Please list your experience in general practice / primary health care (eg. dates, work locations etc).
10. Professional Experience - Obstetrics:
Please provide details of your experience in abstetrics (eg. dates, work locations etc).
11. Professional Experience - Paediatrics:
Please provide details of your experience in paediatrics (eg. dates, work locations etc).
12. Professional Experience - Aviation Medicine:
Please provide details of your experience in aviation medicine (eg. dates, work locations etc).
13. Professional Experience - Rural & Remote Health / Indigenous Health:
Please provide details of your experience in rural & remote health and Indigenous health (eg. dates, work locations etc).
14. Professional Experience - Research / Academic:
Please provide details of your experience in research / academic (eg. dates, work locations etc).
15. Advertising Effectiveness:
Please indicate the source from which you got the information on potential RFDS positions.
