Expression of Interest

Thank you for your interest in working for the North Coast Area Health Service, Mental Health Services.

Please find an Expression of Interest Form below... Completing and submitting this form will register you as an interested person. Please be aware that submission of this form is not an application for employment. Formal applications for employment will be sent following individual consultations.

All information provided will remain confidential and will not be shared with any third party.

Under 'Other' please indicate the hours of work required, viz. full-time, part-time etc.

Your Name:
Address:
Date Of Birth:
Phone:
Mobile:
Email:
Clinical Area of Interest:
Preferred Locations in the NCAHS:
Professional Discipline:
Summary of Employment History:
Other: