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Personal Details
Given Name
required
Last Name
required
Date Of Birth
required
Email
required
Mobile
required
Phone
Street Address
required
Suburb/Town
required
Postcode
required
Country
required
Nationality
Nationality
Australian Citizen or Permanent Resident
New Zealand Citizen
Overseas Citizen
required
Country Nationality
Currently in Australia
Yes
No
Current Australian Work Visa
Enter your current Visa
Australian Citizen
Australian Permanent Resident
Bridging Visa (UNLIMITED WORK)
De Facto Visa (UNLIMITED WORK)
New Zealand Citizen
New Zealand PR
Regional Visa (NT-SA)
Requires Sponsorship
Spouse 457 Visa
Spouse Student Visa (20hr WORK LIMIT)
Spouse Student Visa (UNLIMITED WORK)
Student Visa (20hr WORK LIMIT)
Temporary Resident 457 Visa
Unlimited Visa (NT-SA)
Working Holiday Visa
----------
Require Sponsorship
Qualifications and Experience
Qualification
Registered Nurse / Midwife
Enrolled Nurse
Patient Care Assistant
Other
required
AHPRA Registration
Yes
No
required
AHPRA Years Qualified
Skills - Registered Nurse / Midwife
Registered Nurse / Midwife
General Medical
General Surgical
CCU (Coronary Care Unit)
HDU (High Dependency Unit)
Dialysis
ED (Emergency Department)
ICU (Intensive Care Unit)
Immunisation Certificate
Mental Health - Inpatient
Mental Health - Community
Midwifery
Oncology
Rural Remote
Theatre - Anaesthetic
Theatre - Scrub Scout
Theatre - Recovery
Triage
Nursing Student/Undergraduate
Paediatric
Paediatric - ICU (Intensive Care Unit)
Neonatal - ICU (Intensive Care Unit)
Home and Community Care
Skills - Enrolled Nurse
Enrolled Nurse
General Medical
General Surgical
Medication Competent
CCU (Coronary Care Unit)
HDU (High Dependency Unit)
Dialysis
ED (Emergency Department)
ICU (Intensive Care Unit)
Mental Health - Inpatient
Mental Health - Community
Oncology
Rural Remote
Theatre - Anaesthetic
Theatre - Scrub Scout
Theatre - Recovery
Triage
Nursing Student/Undergraduate
Paediatric
Paediatric - ICU (Intensive Care Unit)
Neonatal - ICU (Intensive Care Unit)
Home and Community Care
Skills - Patient Care Assistant
Patient Care Assistant
Certificate 3 in Aged Care
Certificate 3 in Acute Care
Certificate 4
Home and Community Care
Skills - Other
Other
Domestic Assistance (Cleaner)
Gardeners
Kitchen Hand
Food Service
Chef / Cook
Additional Information
Additional Comments
Preferred Work Location
------ City/Metro ------
Adelaide
Brisbane
Canberra
Darwin
Hobart/Launceston
Melbourne
Perth
Sydney
------ Country/Rural ------
Australian Capital Territory (ACT)
New South Wales (NSW)
Northern Territory (NT)
Queensland (QLD)
South Australia (SA)
Tasmania (TAS)
Victoria (VIC)
Western Australia (WA)
required
Preferred start date
required
How did you hear about Mediserve
Referral from colleague
Magazine
Newspaper
Website
Yellow Pages
Nursing Expo
Poster
Facebook
Twitter
Google
Website
required
Referral Website
CV - Please attach if available
Register In Person
Please bring the following to our office:
2 Forms of Identification (Overseas Nurses will need to bring a passport)
Nurses Board / AHPRA Registration Certificate
Curriculum Vitae
Details of 2 Professional Referees
Bank Details
Superannuation Fund Details
Tax File Number
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