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EOI – Clinical Council

Expressions of Interest: SNPHN Clinical Council

Inviting individual expressions of interest from
local clinicians to join the SNPHN Clinical Council

 

Please complete the form by Tuesday 28 November 2017

    1. Personal Information

    Title:

    First Name:

    Surname:

    Contact phone:

    Email:

    Postal Address:

    Occupation:

    Employer:

    Business Address:

    Do you identify as being any of the following (Optional):

    Aboriginal or Torres Strait Islander:
    Yes

    Culturally and linguistically diverse background:
    Yes

    2. Interest and Experience

    Why does being a member of the Clinical Council interest you?

    Please describe your clinical background, including qualifications, experience and skills that would be relevant as a member of the Clinical Council?

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