Rural Short Term
Locum Support Vacancy Application

Please fill out and submit the form below.

If you prefer to print out a form please download from here and  fax/email your completed form and signed copy of Terms and Conditions to:
Fax: 04 472 0904
Email: enquiries@nzlocums.com

Download Form

  • Dates Applied For

    Dates applied for are as follows. While we can’t guarantee to be able to provide a locum for your first choice of dates, we will do our utmost to secure a break for you during one of the three listed date ranges.
  • Week 1

    Please select below the actual sessions requiring cover (including after hours).
  • Week 2

    Please select below the actual sessions requiring cover (including after hours).
  • Applications for locums are prioritised on date received at the Network. An application does not guarantee a placement. If you have any questions, telephone us on free call 0800 695 628.
  • View terms and conditions
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