Vacancy Submission

1. Practice Details

Contact Name^*

Contact Email^*

Contact Telephone^*

Website (if applicable)

Practice Name^*

Practice Address^*

Postcode^*

2. Vacancy Details

Job Title^*

Type of Role^*

Start Date

Working Days / Hours

Full-time or Part-time

3. Role Description

Brief Description of the Role

4. Candidate Requirements

Essential Qualifications

Experience Required

GDC Registration Required

Performer Number Required

Additional Skills or Requirements

5. Remuneration & Benefits

UDA Rate / Salary / Day Rate

UDA Target

Private Income Potential

Additional Benefits

6. Practice Information

Type of Practice

Number of Surgeries

Software Used

Facilities / Equipment

Support Staff Details

7. Location Information

Town / Area

Transport Links / Parking Availability

Additional Information About the Area

8. Application Process

How to Apply

Application Deadline

Interview Process Details

9. Additional Information

Additional Information

Declaration

I confirm that the information provided is accurate and consent to this vacancy being advertised.

Name^*

Position

Date

On submitting this form you agree to Somerset LDC collecting your personal data. To learn more about how we collect, use, share and protect your personal data, please read our privacy policy.

Please complete all relevant sections below and return this form to us.

The information provided will be used to advertise your vacancy on our website.