טופס הגשת מועמדות
לתכנית הילה מחזור שני 2024
מרכז הרפואי הלל יפה, תוכנית הילה
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פרטים שתעלה/י לצורך הגשת מועמדות נשמרים במערכות חברת SIT (החברה המלווה את תוכנית הילה).
פרטים אלו יועברו במלואם למרכז הרפואי הלל יפה בסיום תהליך המיון והבחירה וימחקו ממערכות SIT.
במידה ולא תאשר/י סעיף זה, לא תשלח מועמדותך לתוכנית הילה.
מאשר/ת
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פרטים אישיים
שם בעברית
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שם פרטי
שם משפחה
שם באנגלית
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First Name
Surname
תאריך לידה
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Date Format: DD slash MM slash YYYY
מס' תעודת זהות
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כתובת במגורים
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כתובת *
עיר *
מיקוד *
דוא"ל
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מספר טלפון נייד
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העלאת תקציר קורות חיים
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עמוד אחד בלבד (במידה ויועלו עמודים נוספים, ייקלט במערכת רק העמוד הראשון)
Accepted file types: jpg, gif, png, pdf.
צירוף תמונת פספורט
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Accepted file types: jpg, gif, png, pdf.
רשימת פרסומים
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עד שני עמודים (במידה ויועלו עמודים נוספים, יקלטו במערכת רק שני העמודים הראשונים)
Accepted file types: jpg, gif, png, pdf.
המוסד בו למדת רפואה:
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שלב מקצועי
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מתמחה עד שלב א
מתמחה בין שלב א' לשלב ב
אחרי שלב ב
מתמחה בהתמחות שניה
מומחה
מומחה ב FELLOWSHIP
מומחה לאחר FELLOWSHIP
Fellowship Location (במידה וקיים)
פרויקט עתידי שתרצה.י ליזום ולהוביל בהלל יפה
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מעורבות או הובלה של פעילויות חברתיות /קהילתיות / התנדבויות/ אחרת.
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חזון אישי והסיבות להתאמתך לתכנית הילה
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Accepted file types: jpg, gif, png, pdf.
עמוד אחד בלבד (במידה ויועלו עמודים נוספים, ייקלט במערכת רק העמוד הראשון)
מקום עבודה
מקום עבודה
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מחלקה
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ותק מרכז רפואי הלל יפה (בחודשים)
מנהל ישיר
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מנהל מחלקה
*
ממליצים
שם מנהל המחלקה
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שם ושם משפחה
המלצת מנהל המחלקה
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Accepted file types: jpg, gif, png, pdf.
עמוד אחד בלבד (במידה ויועלו עמודים נוספים, ייקלט במערכת רק העמוד הראשון)
ממליץ ראשון
שם הממליץ
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שם ושם משפחה
אופן ההכרות
ממליץ ראשון
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Accepted file types: jpg, gif, png, pdf.
עמוד אחד בלבד (במידה ויועלו עמודים נוספים, ייקלט במערכת רק העמוד הראשון)
ממליץ שני
שם הממליץ
*
שם ושם משפחה
אופן ההכרות
ממליץ שני
*
Accepted file types: jpg, gif, png, pdf.
עמוד אחד בלבד (במידה ויועלו עמודים נוספים, ייקלט במערכת רק העמוד הראשון)
פרסומים נבחרים
נא לפרט על שלושה פרסומים נבחרים בלבד, מתוך רשימת הפרסומים.
פרסום 1
שם המגזין
אימפקט
נושא הפרסום
תאור קצר של נושא הפרסום
מעמדך ככותב
רופאים/חוקרים נוספים שחתומים על הפרסום
תגובות/פעולות/חידושים/פניות שקרו בעקבות פרסום מאמר
שנת הפרסום
פרסום 2
שם המגזין
אימפקט
נושא הפרסום
תאור קצר של נושא הפרסום
מעמדך ככותב
רופאים/חוקרים נוספים שחתומים על הפרסום
תגובות/פעולות/חידושים/פניות שקרו בעקבות פרסום מאמר
שנת הפרסום
פרסום 3
שם המגזין
אימפקט
נושא הפרסום
תאור קצר של נושא הפרסום
מעמדך ככותב
רופאים/חוקרים נוספים שחתומים על הפרסום
תגובות/פעולות/חידושים/פניות שקרו בעקבות פרסום מאמר
שנת הפרסום
ESC
You can use the keyboard arrows to navigate between the component buttons
ESC
Close
Keyboard Nav
Shift+A
Stop Blinks
Shift+B
Monochrome
Shift+C
Sepia
Shift+D
High Contrast
Shift+E
Black & Yellow
Shift+F
Invert
Shift+G
Highlights Titles
Shift+H
Highlights Links
Shift+I
Tooltip
Shift+J
Tooltip Visible
Shift+K
Readable Fonts
Shift+L
Increase Font
Shift+M
Decrease Font
Shift+N
Zoom Increase
Shift++
Zoom Decrease
Shift+P
White Cursor
Shift+Q
Black Cursor
Shift+R
Reader View
Shift+W
Reset
Alt+P
Statement
Alt+Q
Report us
Alt+R
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