Job Profile - Locum Position Company and Pharmacy Details Question Title * 1. Company Details Name of Company Physical Address Postal Address Question Title * 2. Pharmacy Details Name of Pharmacy Physical Address Postal Address Question Title * 3. Pharmacy Type Courier Hospital Medical Aid Industry Retail/Community Wholesale/Distribution NGO Other (please specify) Question Title * 4. What Locum Services are you interested in? Locum Pharmacist or Pharmacist Assistant Payroll, HR, IR functions Question Title * 5. Background Details of your Pharmacy Number of years Pharmacy has been in business? How many Pharmacists do you employ? How many Pharmacist Assistants do you employ? Describe attractive features of your working environment? What special services do you offer? (e.g. clinic, wound care etc) How close are you to the nearest Hospital/Medical Practice? What is the name of the nearest Hospital/Medical Practice? Question Title * 6. Pharmacy Contact Person Details First Name Surname Physical Address Position Title Email address Tel no Cel no Next