Victorian Graduate Program

Section 1 - Personal details: * Required fields

* Family Name:

* Given Names:

* Address:

* Post Code:

* Tel (Home):

Tel (Business):

Tel (Mobile):

* Email:

* Are you legally entitled to work in Australia?

Please indicate:

Australian Citizen

Permanent Resident

Temporary Resident Work Permit # Expiry Date

Graduate Program Applied For * At least one

52 week general acute nursing program

52 weeks mental health program

52 weeks midwifery program

26 week Division 2 program

* Full Time

Part Time days / fortnight
(minimum 6 days / fortnight)

If successful with your application, would you be able to commence the gradplus program in :
August 2008?
February 2009?
September 2008 (Div 2)?

If no, preferred start date?

As a participant on the gradplus program you are required to work shift work ie. morning, evening, nights and weekends. Is there any reason that you would not be able to undertake this requirement?
Yes No
Details:

AREAS OF CLINICAL INTEREST (for acute streams choose up to 3 only)* At least one

Cardiac	Gynaecology	Medical
ICU	Oncology	Orthopaedics
Plastics	Surgical	Women’s Health

Others(please specify)

PREFERED HOSPITAL* At least one

Any Metropolitan Hospital
Any Regional Hospital
OR
Albert Road Clinic	Albury Wodonga Private
Beleura Private Hospital	Donvale Rehabilitation Hospital
Frances Perry House	Glenferrie Private Hospital
Linacre Private Hospital	Masada Private Hospital
Mildura Base Hospital *	Mitcham Private Hospital
Peninsula Private Hospital	The Avenue Private Hospital
Wangaratta Private Hospital	Warringal Private Hospital
Waverley Private Hospital

* You must use the computer match facility and send your application when applying to Mildura Base Hospital

If applying for more than one hospital please indicate the order of your preference:

COMPLETE THE FOLLOWING STATEMENTS

* My short-term career goals are:

* My long-term career goals are:

* I would like to be considered for a position in the gradplus because:

* Where did you hear about gradplus?

Others(please specify)

Have you been to a Ramsay Health Care hospital for clinicals?
Yes No
Which Hospitals :

Education

* Tertiary Qualifications (Academic transcripts will need to be provided at interview)

Course Title Start Date Finish Date Point Average Institution

* TAFE/Registered Training Organisation (Record of Results will need to be provided at interview

Course Title Start Date Finish Date Institution

* Practicum Placements (over the last 12 months)

Health Care Facility Type of Placement Month/Year Time Period Summary of Comments
from Placement Report

Please email your Curriculum Vitae and Letter of Application to GradPlus@ramsayhealth.com.au

Submitting may take a minute or more. Please be patient and thank you for your application.