Warning!
Your browser does not support JavaScript, or scripting may have been disabled. Please, enable scripting in your browser in order to use this website properly.
Page
1
of
1
Contact Details
Title:
*
Miss
Mr
Mrs
Ms
Dr
First Name:
*
Last Name:
*
Email:
*
Mobile number:
*
Address Details:
Address Line 1:
*
Address Line 2:
Suburb/Town:
*
State:
*
VIC
NSW
QLD
WA
SA
TAS
ACT
NT
Post Code:
*
Country:
*
Work Rights
Are you an Australian citizen or permanent resident?
*
Yes
No
If no, do you have a current working visa for Australia?
Yes
No
If you are not a citizen or permanent resident of this country please enter your visa expiry date.
What is your consultant's name?
*
What position(s) are you applying for? (Hold CTRL key to multi-select):
*
Personal Care Assistants
Enrolled Nurses
Registered Nurses
Disability Workers
Assistant in Nursing
Other
If you selected 'other' please specify:
Are you registered with APRHA?
*
Yes
No
If yes, please provide your APRHA registration number:
How many shifts are you looking for each week?
*
6-10 Shifts
3-6 Shifts
1-3 Shifts
What is your current hourly pay rate?
Resume & Other Documents
Attach Resume:
*
Google Drive
DropBox
Computer
Attach any other documents here. E.g. tickets and licences.
Google Drive
DropBox
Computer
Privacy Policy
Do you accept our privacy statement? (click to view policy)
*
Yes
No
