Part-time Doctor Entry Form｜[Official] Smart Skin Clinic｜Cosmetic Dermatology Group (Jimbocho, Yokohama)

Part-time Physician Entry Form

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About the Selection Process

Based on the information submitted through this form, we will conduct a document screening. Only successful applicants will be contacted for a first round of interviews.

hospital of one's choice *

identity *

First

Last

furigana (kana over or beside kanji to indicate pronunciation) *

First

Last

Date of Birth *

gender *

female
masculine gender

photographic portrait *

Drag & Drop Files, Choose Files to Upload

Please attach a photo showing you from the chest up. Please remove the mask and attach a photo that clearly shows your face. Masks should be removed and the face should be clearly visible. (Please refrain from using excessive processing applications.)

address (e.g. of house) *

Phone number *

Email Address *

For PCs / Smartphones Either is acceptable

E-mail address (for confirmation) *

Current employment status *

at work
currently out of work
(while) studying at or enrolled in school

academic background *

Medical license (photo, etc.) *

Drag & Drop Files, Choose Files to Upload

A photo taken with a cell phone is acceptable. Please attach the text in a readable format.

work experience *

MBTI Personality Types (16 types diagnosis)

Please select the results of the 16 Type Diagnosis and other tests if you know them. We will use it as a reference indicator to deepen mutual understanding after you join our company.

reason for (one's) application (esp. to a company) *

Days of the week you are available to work (multiple answers allowed)

月
火
water (esp. cool, fresh water, e.g. drinking water)
木
金
土
日

When you can start working