Independent Contractor Ad-Hoc Blood Draw Nurses

Question Title

* 1. Full Name and Surname

Question Title

* 2. Which of the following areas are you able to service?

Pretoria

Rustenburg

Johannesburg South

Johannesburg West

Bloemfontein

KZN North Coast

Cape Town North & South

Cape Winelands (Stellenbosch, Paarl Etc.)

Question Title

* 3. Are you currently registered with the South African Nursing Council (SANC)?

Yes

No

Question Title

* 4. Do you have experience doing blood draws on the road at patients place of work or home?

Yes

No

Question Title

* 5. Do you have a valid Drivers License?

Yes

No

Question Title

* 6. Do you have your own reliable vehicle?

Yes

No

Question Title

* 7. Are you available to work on an ad-hoc basis (sometimes at short notice)?

Yes

No

Question Title

* 8. Please attach a copy of your most recent CV

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Question Title

* 9. Please upload your latest SANC receipt

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.