You can always press Enter⏎ to continue
Become a Healthcare Hero

Become a Healthcare Hero

Welcome to the Medic Connect Healthcare Heroes application form. We hope you clicked this link because you are as interested in working with us as we are in working with you. Please complete the form as accurately as possible. 

Accessibility

Enabled Form

  • 1
    Press
    Enter
  • 2
    Press
    Enter
  • 3
    Press
    Enter
  • 4
    Select your Local Government Area in Lagos. If you do not currently live in Lagos, please scroll to the bottom and choose “Other Nigerian States (Outside Lagos)” instead.
    Please Select
    • Please Select
    • Agege
    • Ajeromi-Ifelodun
    • Alimosho
    • Amuwo-Odofin
    • Apapa
    • Badagry
    • Epe
    • Eti-Osa
    • Ibeju-Lekki
    • Ifako-Ijaiye
    • Ikeja
    • Ikorodu
    • Kosofe
    • Lagos Island
    • Lagos Mainland
    • Mushin
    • Ojo
    • Oshodi-Isolo
    • Shomolu
    • Surulere
    • Other Nigerian States (Outside Lagos)
    Press
    Enter
  • 5
    Tell Us Where You’re Located
    Please Select
    • Please Select
    • Abia
    • Abuja (FCT)
    • Adamawa
    • Akwa Ibom
    • Anambra
    • Bauchi
    • Bayelsa
    • Benue
    • Borno
    • Cross River
    • Delta
    • Ebonyi
    • Edo
    • Ekiti
    • Enugu
    • Gombe
    • Imo
    • Jigawa
    • Kaduna
    • Kano
    • Katsina
    • Kebbi
    • Kogi
    • Kwara
    • Nasarawa
    • Niger
    • Ogun
    • Ondo
    • Osun
    • Oyo
    • Plateau
    • Rivers
    • Sokoto
    • Taraba
    • Yobe
    • Zamfara
    Press
    Enter
  • 6
    Please Select
    • Please Select
    • Medical Doctor (General)
    • Specialist / Consultant
    • Registered Nurse (RN)
    • Specialty Nurse (e.g., ICU, OR, ER)
    • Caregiver / Healthcare Assistant (HCA)
    • Pharmacist
    • Healthcare Technician (e.g., Lab, ECG, Dialysis, Radiography)
    • Medical Student (Final-Year Clinical)
    • Nursing Student (Final-Year Rotation)
    • Paramedic
    Press
    Enter
  • 7
    (if applicable)
    Press
    Enter
  • 8
    Drag and drop files here
    Select files to upload
    Max. file size: 1.0MB
    Cancelof
    Press
    Enter
  • 9
    Press
    Enter
  • 10
    Press
    Enter
  • 11
    Press
    Enter
  • 12
    By ticking “Yes,” you agree to receive occasional updates, opportunities, and communications from the Medic Connect team as part of our professional network. Don't worry we won't spam you.
    Press
    Enter
  • 13

    By clicking the submit button below, I confirm that the information I have provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any false statements, omissions, or misrepresentations may result in the rejection of my application or, if discovered after engagement, the termination of my relationship with Medic Connect.

    I understand that submitting this form does not constitute a binding offer of employment or engagement. If selected, I agree to abide by Medic Connect’s operational procedures, professional conduct standards, and applicable healthcare regulations.

    I acknowledge that my engagement may be terminated by either party, with or without cause and with or without prior notice, in accordance with Nigerian labour laws and the terms of any future agreement.

    By submitting this form, I also consent to the secure processing of my personal information for recruitment, onboarding, and operational purposes, in accordance with the Nigeria Data Protection Act (NDPA) and Medic Connect’s data protection policy. I understand that my data will be treated with strict confidentiality and used only for lawful and legitimate purposes within the scope of Medic Connect’s services.

    Press
    Enter
  • Should be Empty:
Become A Helthcare Hero
[Edit]
Question Label
1 of 13See AllGo Back
close