Registration for Locum

Health Stores Ireland Locum Database

Please complete the questionnaire below, giving as much detail as possible, to be stored in the Health Stores Ireland Locum Database which will be available (only on request) to IAHS members.

Question Title

* 1. What type of locum work are you interested in?

Emergency cover for occasional days; staff shortages, illness cover.

Scheduled cover for planned time off.

Special project cover ie store openings, extensions, refits.

Seasonal peaks for local events, festivals etc.

Training cover- I can bring my experience to your shop & staff.

Shop swap. You take on someone's shop while they work in yours.

Other (please specify)

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* 2. What geographical area are you willing to cover?

Anywhere in Ireland or UK.

Anywhere in Ireland.

50km radius of my base.

25km radius of my base.

10km radius of my base.

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* 3. What are you looking for in return for your cover?

Payment at a pre-arranged rate.

Experience with no payment.

Lodgings in nearby hotel, BnB or holiday apartment.

General expenses at a pre-agreed rate.

Shared lodgings with shop owner or staff member.

House or apartment swap.

Reciprocal arrangement.

Other (please specify)

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* 4. What is the goal of your placement?

Experience other businesses to help improve my own.

Gain work experience with a view to finding part-time or permanent work.

Educational requirement.

Busman's holiday.

Other (please specify)

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* 5. What dates and time periods suit you best?

Anytime considered.

Any days over weekends or long weekends.

Summer.

Spring.

Autumn.

Winter.

Other (please specify)

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* 6. Please give a brief summary of your retail experience and any specific expertise you feel you can offer

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* 7. Please supply a name and details for a reference

Name

Company

Telephone

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* 8. Address

Name

Company

Address

Address 2

City/Town

Email Address

Phone Number

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* 9. Privacy Disclaimer. By ticking this box I consent to the information I have provided being shared within Health Store Ireland. I understand that this information may be inadvertently shared with third parties.

Tick.