Apply To Work

To apply for a position - or to request more information - simply call a recruiter, send us an email, or complete the application below.

  • For positions in the U.S. and its territories, call 866.858.6269.
  • For positions in Australia and New Zealand, call 800.760.3174
  • To request information via email, write to doctors@gmedical.com

To submit this application, complete the following fields then click the "Submit" button. Fields marked with * are required.


First Name: *
Last Name: *
Date of Birth: *
Citizenship: *

  Current Address 1: *
Current Address 2:
City: *
State/Province:
Country: *
Postal Code:
Home Phone: *
  Best time to reach you?
Business Phone:
Mobile Phone:
Fax: (if available)
Email Address: *
Social Security #: (if applicable)
Medical School Attended:
Graduation Year:
Date Available: *
Duration Available:

Specialty: *
Upload CV:
Create CV


Medical Registrations (Licenses)
- Please list all medical registrations (licenses) that you have obtained or are obtaining.

  State/Province & Country
Registration or Licence #
Date Issued
Expiration Date
1.
2.
3.
4.
5.



Professional References
- A total of five references are required. Two of these references must be in your field of specialization and three of the references must have worked with you within the past few months.

  Name of Reference (Title or Field of Specialization)
Phone Number
Email Address
1.  
2.
3.
4.
5.



General Interest

How did you hear about GMS?
Why are you interested in working overseas?
Which Countries or geographic areas interest you and why?
Are you interested in moving permanently?
What are your major concerns about working overseas?
(US doctors only) Are you interested in working US domestic locums before or after your overseas assignment?




Questions - Please answer each question below by marking the appropriate answer to the right of the question. Include explanations for any affirmatively answered questions.

1. Have you ever been or are you now the subject of any medical defense (malpractice) claims, incidences or allegations?
If yes, please explain:


2. Have you ever been or are you now the subject of any criminal investigations, allegations or charges?
If yes, please explain:


3. Are you now or have you ever been under the supervision of a doctor for any emotional, psychological or other conditions or illnesses that might have an impact on your performance as a doctor?
If yes, please explain:


4. Are you now or have you ever been the subject of any investigations, sanctions, revocations or suspensions of your medical registrations (licenses) or prescribing authority?
If yes, please explain:


5. Have you ever been denied membership in or privileges at or otherwise been investigated, sanctioned or reprimanded by any medical institution, society or association?
If yes, please explain:


6. Do you or any family member who will accompany you have any illnesses or disabilities that might preclude you from receiving a foreign visa on medical grounds?
If yes, please explain:


7. Have you ever, voluntarily or involuntarily, surrendered or withdrawn an application for hospital privileges, medical registration (licensure) or membership to any medical college, society or association?
If yes, please explain:


8. Are you now or have you ever been addicted to any drugs or alcohol?
If yes, please explain:


9. Are you HIV or HEP B positive?
If yes, please explain:



I have completed the application and answered all of Global Medical Staffing’s (GMS) questions to the best of my ability. I swear that the information that I have provided is true and correct. I understand that any misrepresentation made by me may result in the immediate termination of any contractual relationship I form with GMS as well as the retroactive termination of any malpractice insurance obtained on my behalf.

I authorize GMS to speak to my references, research my background, character and qualifications to practice medicine, including malpractice history, with any college, university, medical school, residency or fellowship program, hospitals or other medical practices or institutions, state or national licensing boards, American Board of Medical Specialties, American Medical Association, American Osteopathic Association, National Practitioner Data Bank, the Federation of States Medical Boards, DEA, malpractice carriers and associated attorneys, all US or foreign federal, state or local government agencies and instrumentalities and any other pertinent source. I authorize GMS to share any information obtained with GMS clients and any medical licensing boards. I agree to hold GMS harmless from any liability whatsoever related to these processes. I further agree to hold the entities or persons listed above harmless from any liability whatsoever for the provision of information to GMS and/or for GMS’s subsequent use of such information.

I recognize that Global Medical Staffing’s (GMS) business depends on preserving its network of clients and doctors. To this end, GMS has expended considerable amounts of time, money, and energy. Recognizing GMS’s investment, I agree not to introduce other doctors to the locations GMS provides to me. I also agree not go around GMS by accepting any type of employment position at a location where GMS presents my CV for consideration for a position, or provides me with information (verbally, in writing or by any other means). Should I go around GMS, in contradiction to this agreement, and establish any type of employment relationship, for myself or for any other doctor, I agree that GMS is entitled to its customary placement fee.


  
Kauai Shore

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