Looking for doctors and healthcare personnel

Name

Surname

Date of birth

Gender

Male

Female

Not specified

Foreign country of birth

Foreign municipality of birth

Citizenship

Extra UE

Indicate the Country of citizenship

Extra UE

I am a family member of an EU citizen with the right of residence or the right of permanent residence;

YES

I hold the EC long-term resident permit or refugee status or status as beneficiary of subsidiary protection;

YES

Simple e-mail address

Certified electronic mail address

Telephone

Mobile phone

Is the address for notifications located in Italy?

YES

Province

Municipality

Address

Post Code

City

The applicant undertakes to notify any and all without delay changes to the e-mail address: perlalombardia@regione.lombardia.it

YES

Specify other profile

Branch

Year of specialisation

Specialisation University where applicant is currently serving

Notes

I have read and unconditionally accept the contents of the notice

YES

I hold a suitable qualification/that is recognised in Italy

YES

I am willing to perform clinical care activities,

working shifts on a 24/7 basis

within limits

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Alternative acceptable location

Copy of valid personal identity document. Attach identity document both front and back

Puoi inserire un solo allegato, aggiungendone un altro questo sostituirà il precedente.

Privacy notice

I am aware that my data will be collected by AREU for the purposes of managing this expression of interest, pursuant to and for the purposes of (EU) Regulation 2016/679

YES

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