Online Application

Personal Details

Title:		First Name*:
Surname*:		Date of birth:
Email*:
Confirm Email*:
Nationality:		Visa type:

Contact Details

Address:		Suburb/Town:
State:		Postcode:
Postal Address:		Suburb/Town:
State:		Postcode:
Home Phone:		Mobile:
Preferred Contact Method
Emergency Contact*:		Contact Number*:

Professional Details

Nurse Type:
Number of years post graduation:
Nurse registration number/s*:
Are there any restrictions placed on your registration*?
Qualifications:
Certificates*:

Experience Midwifery Delivery Suite ICU
Medical Surgical Orthopaedics
Paediatrics Renal Oncology
Palliative Care Peri-Operative Mental Health
Aged Care Community Medical Practice
Rehabilitation Day Surgery Theatre
Remote Indigenous HDU

Work Requirements

I am interested in*:

Shift by Shift Contract

Referees

Referee 1:
First Name:		Surname:
Position:		Employer:
Work Phone:		Mobile:
Email:

Referee2:
First Name:		Surname:
Position:		Employer:
Work Phone:		Mobile:
Email:

Resume

You can optionally include a resume with this application. Simply browse for a PDF or DOC version of a resume on your local computer.

Submit

Auto Acknowledgement:

By submitting the above details, I acknowledge & declare:

I give permission to RNS to undertake two verbal reference checks of the above listed referees. At least one referee must be a professional from recent employment. Please note statements from referees are confidential and no discussion will be entered into;
I authorise RNS to extract information from my resume to provide a summary of my experience and interests to prospective host employers;
Declare that all information I have provided to be complete, true and accurate.