Medicus Job Application Form
Please fill in the application form below (Fields indicated with
(*)
are required fields) Application form will be kept strictest confidence.
Which position are you applying for?
(*)
Select position
Doctor
Paramedic or nurse
Lab technician
Office worker
Cleaner
Cook
Ambulance driver
Claims executive
Receptionist
Accountant
YOUR PERSONAL DETAILS
Name Surname:
(*)
Gender:
(*)
Female
Male
Place and date of birth :
(*)
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
Your nationality:
(*)
T.C.
Other
Marital status:
(*)
Single
Engaged
Married
Divorced
Your address:
(*)
Phone No:
(*)
GSM:
Your e-mail address:
YOUR PERSONAL STATUS
Have you completed your military service?
(*)
Yes
No
N/A
Do you have a driving licence?
(*)
Yes
No
Can you drive?
(*)
Yes
No
Type and date of your driving licence
Year
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
YOUR EDUCATION HISTORY
Please show the last school first
(*)
YOUR FOREIGN LANGUAGE SKILLS
English
I don't know
Poor
Moderate
Good
Excellent
German
I don't know
Poor
Moderate
Good
Excellent
Any Scandinavian
I don't know
Poor
Moderate
Good
Excellent
Dutch
I don't know
Poor
Moderate
Good
Excellent
Turkish
I don't know
Poor
Moderate
Good
Excellent
Other:
Poor
Moderate
Good
Excellent
YOUR PREVIOUS WORK EXPERIENCE
Please show your last job first
(*)
YOUR PERSONAL HEALTH
Do you have any medical problems?
(*)
No
Yes
Did you have any operations?
(*)
No
Yes
Are you disabled?
(*)
No
Yes
Do you smoke?
(*)
No
Yes
a day
YOUR REFERENCES
Please indicate fullname, position, phone and address
(*)
POSITION
Shifts you prefer to work:
What is your salary expectation?
Do you require accommodation?
(*)
No
Yes
Do you have any special requirements?
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Medicus® Out-Patient Medical Services.
Karabekir 50 Side
07330 Antalya TURKEY
Tel: +90 242 753 11 11 Fax: +90 242 753 56 56
e-mail: info@medicus.com.tr
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