APPLICATION FOR WORK AS A SESSIONAL GP
WITH LOCAL CARE DIRECT
PRIVATE AND CONFIDENTIAL
The information provided on this form will help us to assess your suitability to work with Local Care Direct. Please answer the questions fully and complete clearly. All information will be treated in strictest confidence. The last page of this form is designed to enable us to monitor our equal opportunities policy. The information, which you provide, will be treated in the strictest of confidence and will not be used in any way when assessing your suitability to work with us.