Recruitment Form - The Medicines Management Team

1

Name* This field is required.

First Name

Last Name

2

What's your email address?* This field is required.

example@example.com

3

Please enter your mobile number below* This field is required.

07123456789

4

Which city/town do you live in?* This field is required.

5

What is your profession?

Pharmacist

Pharmacy technician

6

Please state your GPhC registration number* This field is required.

7

Do you have any primary care experience?* This field is required.Any experience working in a GP surgery or PCN

YESNO

8

Do you have experience using any of the following clinical systems?* This field is required.Please choose ONE option

EMIS

SystmONE

Both EMIS & SystmONE

None

9

Are you a prescriber?* This field is required.

YESNO

10

When can you ideally start working at The Medicines Management Team?* This field is required.

11

How many hours a week are you looking for?* This field is required.Please select as many relevant options

Flexible

Part time

Full time

Adhoc hours

12

Do you have a laptop with access to clinical systems i.e System One or EMIS?

YESNO

13

Are you also interested in working evenings or weekends?Please select one OPTION

Evenings

Weekends

Evenings & Weekends

No

14

Do you have a Ltd company?* This field is required.

Yes

No

15

Are you able to commit to 5 days of unpaid clinical and systems training?* This field is required.

Yes

No

16

Are you able to commute to the training hub for the initial 1-3 weeks?* This field is required.

Yes

No

17

How did you hear about us?* This field is required.