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FCS Job Opportunity Form |
Please print out this form, complete it, and fax it to FCS at 270.782.1055. One of our recruiting professionals will respond to you promptly. |
JOB OPPORTUNITY
Add________ Change ________ Delete_________
Client name: _______________________________________________________________________________
City / State ________________________________________________________ Pop___________________
Contact name: ____________________________________________ Position: _______________________
What type of facility are you?
CMHC________ Hospital________ PP________ Multi spec ________ Academic ________ FP___________
NFP____ (CMHC and Hosp)
Are you an under served area? _____ Will you support a J1 ____ H1____
Other ______________________________________________________________________________________
What do you need?
GA _____ CA ______ Geriatric ______ C&L ______ Forensic ______ ECT ______
Addiction_____ Psycho Pharmacology____ Public Psychiatry___ Sleep disorders_____
Woman’s disorders______ Eating disorders___
Do they need to be BC ________ or BE________ Will you consider resident_____________________
New position ________ Replacement ________
How urgent is the need to fill this position?_______________________________________________
How are you covering the position now? _____________________________________________________
Are you currently looking at anyone right now?______________________________________________
Information about position
Is this a staff position________ medical directorship ________
Private practice________ Hrs/ week____ Call : during the Week ________
Week end________ Phone call________
Salary ___________________________________ Incentives_______________________________________
Net Income Guarantee____________ For NIG is there forgiveness______________________________
____________________________________________________________________________________________
#Psychiatrists in unit_____
What percent In patient ______ % Out Patient ______ % IP 100% What is length of stay______
Total # beds in facility________ #Psych beds ________
Are the beds adult, geriatric or child_____________________________
How long for med checks________ How long for eval________
GA What ages 12&up________ 18&up________
CA What ages________ What % of child (3-12) ________ What % Adoles (12-18) ________
Benefits:
Vacation ____________ CME ____________ Holidays ____________
Sick days____________ Disability _________ Retire_______________
Malpract____________ Life Ins____________ Hlth/ Dent____________
Reloc exp____________ Temp cost of living ________ Sign on Bonus_______
Is there any help with student loans for new residents? ____________________________________
Brief Job Description: _____________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Nearby cities_______________________________________________________________________________
Recreational activities: ___________________________________________________________________
Cultural activities: _______________________________________________________________________
Attractions: _______________________________________________________________________________
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