Employer Registration and/or Enquiry

Please use the ‘Employer Registration Form’ below to submit details of your vacancy or if you would like to make an enquiry about a candidate, please fill out the ‘Employer Enquiry Form’ and we will contact you as soon as possible.

Choose your registration form
Choose	Employer Registration Form Employer Enquiry Form

Employers Registration Form
Title:
*First Name:
*Surname:
Date:
Postal Address:
State:
Postcode:
Business Phone:
Private Phone:
Business Fax:
Private Fax:
Mobile:
Email:
Best time to contact you:
Business Name:
ABN:
Business Address:
State:
Postcode:
How did you hear about us?
Type of pharmacy:
Computer system used:	If other, please specify:
Position required:	Manager Pharmacist Pharmacist in charge Pre reg position Pharmacy Assistant Dispensary Technician Retail Manager
Position type available:	Permanent full time Permanent part time Locum
Approx. scripts per day:
Number of pharmacy staff:
Methadone:
Webster packs or similar:
Is there a dispensary technician?	Yes No
Pay Rate:
Start date if permanent position:
Days and hours required for permanent position:
Dates, days and hours required for locum:
Will accommodation be provided?	Yes No
Are you listing this role exclusively with LocumCo? (Roles listed exclusively with LocumCo receive priority)	Yes No
Additional information:
Job Description:

Employer Enquiry Form
*Name:
*Pharmacy Name:
*Pharmacy Address:
*Email:
Phone:

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