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Application form - Registered Nurses & Enrolled Nurses - Anaesthetics - 506742

Note: All applications must be submitted online. This application form is intended for research purposes only.

Are you currently authorised to work in Australia ?*
   Yes - I am a permanent resident or citizen of Australia      Yes - I am a citizen of New Zealand  
   Yes - I have a work permit or visa      No - I require sponsorship  
Visa type (sub class)

Visa expiry date

Country of issue
   Afghanistan      Åland Islands  
   Albania      Algeria  
   American Samoa      Andorra  
   Angola      Anguilla  
   Antartica      Antigua and Barbuda  
   Argentina      Armenia  
   Aruba      Australia  
   Austria      Azerbaijan  
   Bahamas      Bahrain  
   Bangladesh      Barbados  
   Belarus      Belgium  
   Belize      Benin  
   Bermuda      Bhutan  
   Bolivia      Bosnia And Herzegovina  
   Botswana      Bouvet Island  
   Brazil      British Indian Ocean Territory  
   Brunei Darussalam      Bulgaria  
   Burkina Faso      Burundi  
   Cambodia      Cameroon  
   Canada      Cape Verde  
   Cayman Islands      Central African Republic  
   Chad      Chile  
   China      Christmas Island  
   Cocos (Keeling) Islands      Colombia  
   Comoros      Congo  
   Congo, The Democratic Republic Of The      Cook Islands  
   Costa Rica      Côte D'ivoire  
   Croatia      Cuba  
   Cyprus      Czech Republic  
   Denmark      Djibouti  
   Dominica      Dominican Republic  
   Ecuador      Egypt  
   El Salvador      Equatorial Guinea  
   Eritrea      Estonia  
   Ethiopia      Falkland Islands (Malvinas)  
   Faroe Islands      Fiji  
   Finland      France  
   French Guiana      French Polynesia  
   French Southern Territories      Gabon  
   Gambia      Georgia  
   Germany      Ghana  
   Gibraltar      Greece  
   Greenland      Grenada  
   Guadeloupe      Guam  
   Guatemala      Guernsey  
   Guinea      Guinea-bissau  
   Guyana      Haiti  
   Heard and McDonald Islands      Honduras  
   Hong Kong      Hungary  
   Iceland      India  
   Indonesia      Iran, Islamic Republic Of  
   Iraq      Ireland  
   Isle of Man      Israel  
   Italy      Jamaica  
   Japan      Jersey  
   Jordan      Kazakhstan  
   Kenya      Kiribati  
   Korea, Democratic People's Republic Of      Korea, Republic Of  
   Kosovo      Kuwait  
   Kyrgyzstan      Lao People’s Democratic Republic  
   Latvia      Lebanon  
   Lesotho      Liberia  
   Libyan Arab Jamahiriya      Liechtenstein  
   Lithuania      Luxembourg  
   Macau      Madagascar  
   Malawi      Malaysia  
   Maldives      Mali  
   Malta      Marshall Islands  
   Martinique      Mauritania  
   Mauritius      Mayotte  
   Mexico      Micronesia, Federated States Of  
   Moldova, Republic Of      Monaco  
   Mongolia      Montenegro  
   Montserrat      Morocco  
   Mozambique      Myanmar  
   Namibia      Nauru  
   Nepal      Netherlands  
   Netherlands Antilles      New Caledonia  
   New Zealand      Nicaragua  
   Niger      Nigeria  
   Niue      No recognised nationality  
   Norfolk Island      Northern Mariana Islands  
   Norway      Oman  
   Pakistan      Palau  
   Panama      Papua New Guinea  
   Paraguay      Peru  
   Philippines      Pitcairn  
   Poland      Portugal  
   Puerto Rico      Qatar  
   Republic of North Macedonia      Reunion  
   Romania      Russian Federation  
   Rwanda      Saint Barthélemy  
   Saint Helena      Saint Lucia  
   Saint Martin      Saint Pierre and Miquelon  
   Saint Vincent and the Grenadines      Samoa  
   San Marino      Sao Tome And Principe  
   Saudi Arabia      Senegal  
   Serbia      Seychelles  
   Sierra Leone      Singapore  
   Slovakia      Slovenia  
   Solomon Islands      Somalia  
   South Africa      South Georgia and the South Sandwich Islands  
   South Sudan, The Republic Of      Spain  
   Sri Lanka      St. Kitts and Nevis  
   State of Palestine      Sudan  
   Suriname      Svalbard and Jan Mayen  
   Swaziland      Sweden  
   Switzerland      Syria  
   Taiwan      Tajikistan  
   Tanzania, United Republic Of      Thailand  
   Timor-leste      Togo  
   Tokelau      Tonga  
   Trinidad And Tobago      Tunisia  
   Turkey      Turkmenistan  
   Turks and Caicos Islands      Tuvalu  
   Uganda      Ukraine  
   United Arab Emirates      United Kingdom  
   United States      United States Minor Outlying Islands  
   Uruguay      Uzbekistan  
   Vanuatu      Vatican City State  
   Venezuela      Vietnam  
   Virgin Islands, British      Virgin Islands, U.S.  
   Wallis and Futuna      Western Sahara  
   Yemen      Zambia  
I understand that as part of the recruitment process, I may be required to attend pre-employment screening checks.*
   Yes      No  
I acknowledge that if I am the successful applicant to this position, I am willing and able to participate in the MUH immunisation program, including providing evidence of any medical contraindications that may impact on this.*
   Yes      No  
I understand that in order to be made an offer of employment for this position, I must provide a valid Working with Children Check Clearance number.*
   Yes      No  
Please provide your WWCC clearance number:
Please provide your AHPRA number (if applicable):

Detail your employment history:

Your current resume must be uploaded in order to submit this application. Documents must be uploaded in the following formats: .DOC, .DOCX, .PDF, .TXT, .RTF.
To upload a file:
1. Click 'Browse...' and select the file from your computer.
2. Click 'Upload' to send the resume to us, this may take a few minutes depending on the speed of your internet connection.
To delete a file that you have uploaded, click 'Delete'.

Please upload your cover letter.

(File upload facility available online)

Please upload your resume.*

(File upload facility available online)

Please upload your WWCC clearance certificate

(File upload facility available online)

Please upload your AHPRA registration (if applicable)

(File upload facility available online)

Scanning Tips:
Set your scanner to 72dpi or the "screen" setting, scan in black & white, and save your file in PDF format where possible.

The following questions are optional and are used for Equal Employment Opportunity statistical purposes only. This information will not be used for any other purpose. Your responses to these questions are not visible to the Hiring Manager or Recruiter and will not be used during the recruitment process. Your contribution of this data will be of great assistance - thank you!
   Male      Female  
Are you an Aboriginal and/or Torres Strait Islander person?
   No      Yes, Aboriginal  
   Yes, Torres Strait Islander      Both  
Are you from a non-English speaking background?
   Yes      No  
Do you have a disability?
   Yes      No  
Only answer this question if you answered "Yes" to Do you have a disability? above:
If you have a disability, do you require a work-related adjustment?
   Yes      No  

As the answer to this question is collected for reporting purposes only, should you need assistance with adjustments you will need to advise Macquarie University Clinical Associates of this at an appropriate time.