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* 1. First Name

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* 2. Last Name

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* 3. Email address

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* 4. Mobile number

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* 5. Employed at

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* 6. What attracts you to attend Rural GP Masterclass IV?

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* 7. How will you apply what you’ve learned from Rural GP Masterclass IV in your clinical practice?

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* 8. Have you considered locum work as an option before you work in a permanent position at a Practice?

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