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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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