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CIMBS Recruitments - June 2017

Application Questionnaire

Personal Information

Question Title

* 1. Personal Information

Name

Age

Gender

Email Address

Mobile Number

Alternate Contact Number

Interest & Availability
Indicate your level of interest & availability for a position at CIMBS, New Delhi

Question Title

* 2. Interest & Availability
Indicate your level of interest & availability for a position at CIMBS, New Delhi

I'm only exploring at the moment

I'm interested & available to join immediately

I'm interested & will be available to join within 2 weeks

I'm interested & will be available to join in 1 month

I'm interested but will not be available for some time

Are you currently based in New Delhi?

Question Title

* 3. Are you currently based in New Delhi?

Yes

No, but I'm in the process of relocating

No, but I will relocate if offered a position at CIMBS

Have you completed the following level of education: MPhil?

Question Title

* 4. Have you completed the following level of education: MPhil?

Yes, I've completed the course

No, but I'll complete the course over the next few weeks

Educational Qualifications:
Courses completed, names of universities & respective years of graduation.
Format: [Course Name] - [Name of University] - [Graduation Year] (repeat for each qualification)

Question Title

* 5. Educational Qualifications:
Courses completed, names of universities & respective years of graduation.
Format: [Course Name] - [Name of University] - [Graduation Year] (repeat for each qualification)

Are you fluent in Hindi & English?

Question Title

* 6. Are you fluent in Hindi & English?

Yes, both: Hindi & English (spoken & written)

Spoken & Written Hindi, and Spoken English

Spoken & Written English, and Spoken Hindi

Only Hindi (spoken & written)

Only English (spoken & written)

Other

Do you have the following certification: RCI?

Question Title

* 7. Do you have the following certification: RCI?

Yes

Awaited

Are you interested in working exclusively with an In-Patient Unit?
We attempt to match available postings with the interests of the professionals.
At a given time, postings may be available in the In-Patient, Out-Patient, or both teams.

Question Title

* 8. Are you interested in working exclusively with an In-Patient Unit?
We attempt to match available postings with the interests of the professionals.
At a given time, postings may be available in the In-Patient, Out-Patient, or both teams.

Yes - I have prior experience & qualifications for such a profile

Yes - but I do not have prior experience & qualifications for such a profile

No - I am only interested in a position where I would work with both Out-Patient & In-Patient Departments

No - I am interested in working only with an Out-Patient Department

Prior Experience with In-Patient Departments
List out your prior experience of working with In-Patient Departments
Format: [Organisation] - [Designation] - [Activities Conducted] - [Duration]
State: "None" in case Not Applicable.

Question Title

* 9. Prior Experience with In-Patient Departments
List out your prior experience of working with In-Patient Departments
Format: [Organisation] - [Designation] - [Activities Conducted] - [Duration]
State: "None" in case Not Applicable.

Total Post-Qualification Experience
Indicate Years and Months. Exclude internships & trainings.

Question Title

* 10. Total Post-Qualification Experience
Indicate Years and Months. Exclude internships & trainings.

Previous Training at CIMBS
Have you previously received training at CIMBS or at a workshop organised by CIMBS?
If yes, specify details below. If not, state "No".

Question Title

* 11. Previous Training at CIMBS
Have you previously received training at CIMBS or at a workshop organised by CIMBS?
If yes, specify details below. If not, state "No".

Current Place of Work
Specify name of organisation, city & designation
Note: References, if required, may be inquired for at an appropriate time.

Question Title

* 12. Current Place of Work
Specify name of organisation, city & designation
Note: References, if required, may be inquired for at an appropriate time.

Remuneration
Last Drawn Remuneration (Salary/ Stipend)

Question Title

* 1. Personal Information

Question Title

* 2. Interest & AvailabilityIndicate your level of interest & availability for a position at CIMBS, New Delhi

Question Title

* 3. Are you currently based in New Delhi?

Question Title

* 4. Have you completed the following level of education: MPhil?

Question Title

* 5. Educational Qualifications:Courses completed, names of universities & respective years of graduation.Format: [Course Name] - [Name of University] - [Graduation Year] (repeat for each qualification)

Question Title

* 6. Are you fluent in Hindi & English?

Question Title

* 7. Do you have the following certification: RCI?

Question Title

* 8. Are you interested in working exclusively with an In-Patient Unit?We attempt to match available postings with the interests of the professionals.At a given time, postings may be available in the In-Patient, Out-Patient, or both teams.

Question Title

* 9. Prior Experience with In-Patient DepartmentsList out your prior experience of working with In-Patient DepartmentsFormat: [Organisation] - [Designation] - [Activities Conducted] - [Duration]State: "None" in case Not Applicable.

Question Title

* 10. Total Post-Qualification ExperienceIndicate Years and Months. Exclude internships & trainings.

Question Title

* 11. Previous Training at CIMBSHave you previously received training at CIMBS or at a workshop organised by CIMBS?If yes, specify details below. If not, state "No".

Question Title

* 12. Current Place of WorkSpecify name of organisation, city & designationNote: References, if required, may be inquired for at an appropriate time.

Question Title

* 13. RemunerationLast Drawn Remuneration (Salary/ Stipend)

* 2. Interest & Availability
Indicate your level of interest & availability for a position at CIMBS, New Delhi

* 5. Educational Qualifications:
Courses completed, names of universities & respective years of graduation.
Format: [Course Name] - [Name of University] - [Graduation Year] (repeat for each qualification)

* 8. Are you interested in working exclusively with an In-Patient Unit?
We attempt to match available postings with the interests of the professionals.
At a given time, postings may be available in the In-Patient, Out-Patient, or both teams.

* 9. Prior Experience with In-Patient Departments
List out your prior experience of working with In-Patient Departments
Format: [Organisation] - [Designation] - [Activities Conducted] - [Duration]
State: "None" in case Not Applicable.

* 10. Total Post-Qualification Experience
Indicate Years and Months. Exclude internships & trainings.

* 11. Previous Training at CIMBS
Have you previously received training at CIMBS or at a workshop organised by CIMBS?
If yes, specify details below. If not, state "No".

* 12. Current Place of Work
Specify name of organisation, city & designation
Note: References, if required, may be inquired for at an appropriate time.

* 13. Remuneration
Last Drawn Remuneration (Salary/ Stipend)