Skip to content
Menu
1300 526 877
Home
Job Applications
Terms & Conditions of Employment
Templates & Downloads
Healthcare Services
Agency Nursing Services
Disability Support Services
Community Nursing Care
Respite Care
Home Care Nursing
Home Help
FAQs
Blog
Contact Us
Close Menu
Application Form
Step
1
of
7
14%
Your Details
Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Title
First
Last
Phone
Mobile
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
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 Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
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
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
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
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email
*
Enter Email
Confirm Email
Date of Birth
*
DD slash MM slash YYYY
Nationality
*
Australian Citizen
*
Permanent Resident
Work Permit
Visa
Other
TYPE of Visa
*
Duration
*
Upload Your Head Shot
*
Max. file size: 256 MB.
For ID purposes
Next Of Kin’s Details
Name
*
First
Last
Best Contact Number
*
Email
*
Name
*
First
Last
Best Contact Number
*
Email
*
Qualifications
Position/s You Are Applying For
*
RM
Registered Nurse
Enrolled Nurse
Personal Care Assistant
Disability Support Worker
Date Qualified
*
DD slash MM slash YYYY
Specialty Area
*
Date Available To Begin Employment
*
DD slash MM slash YYYY
Provide Days Of The Week You Are Available To Work:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Nursing Board Registration Number 1 and Expiry Date
*
Nursing Board Registration Number 2 and Expiry Date
*
Working With Vulnerable Peoples Check Certification Number
*
Cardiopulmonary Resuscitation (CPR) Competence >
Course Completed
*
DD slash MM slash YYYY
Expiry
*
DD slash MM slash YYYY
Manual Handling Competence >
Course Completed
*
DD slash MM slash YYYY
Expiry
*
DD slash MM slash YYYY
Drug Calculation Competency > Most Recent Date Undertaken
*
DD slash MM slash YYYY
Upload Your CV and any other supporting documentation
*
Drop files here or
Select files
Max. file size: 256 MB.
Any Current or Past Medical Conditions to report?
*
Yes
None
If yes, Please Describe
Any Current / Past Workers Compensation Claims?
*
Yes
None
Please List
*
Proof Of Criminal Record Screening/ National Police Clearance - Date Issued
*
MM slash DD slash YYYY
Attach Copy of Criminal / Police Clearance form
Drop files here or
Select files
Max. file size: 256 MB.
Working with Children Clearance Number
*
Expiry
*
MM slash DD slash YYYY
Superannuation
Fund Name
Superannuation Usi No
*
Member Number
*
Banking
Tax File Number
Institution Or Bank Name
BSB Number
Bank Account Number
Pre-Employment Immunisation Assessment
Hepatitis A Vaccination Date
*
DD slash MM slash YYYY
History
*
Yes
No
Unknown
Result
*
Hepatitis B Vaccination Date
*
DD slash MM slash YYYY
History
*
Yes
No
Unknown
Result
*
Varicella (Chicken Pox) Vaccination Date
*
DD slash MM slash YYYY
History
*
Yes
No
Unknown
Result
*
Measles Vaccination Date
*
DD slash MM slash YYYY
History
*
Yes
No
Unknown
Result
*
Mumps Vaccination Date
*
DD slash MM slash YYYY
History
*
Yes
No
Unknown
Result
*
Rubella Vaccination Date
*
DD slash MM slash YYYY
History
*
Yes
No
Unknown
Result
*
Influenza Vaccination Date
*
DD slash MM slash YYYY
History
*
Yes
No
Unknown
Result
*
Diphtheria Vaccination Date
*
DD slash MM slash YYYY
History
*
Yes
No
Unknown
Result
*
Pertussis Vaccination Date
*
DD slash MM slash YYYY
History
*
Yes
No
Unknown
Result
*
Tetanus Vaccination Date
*
DD slash MM slash YYYY
History
*
Yes
No
Unknown
Result
*
Poliomyelitis Vaccination Date
*
DD slash MM slash YYYY
History
*
Yes
No
Unknown
Result
*
Tuberculosis Vaccination Date
*
DD slash MM slash YYYY
History
*
Yes
No
Unknown
Result
*
Tuberculosis Previous Manteaux Test
*
DD slash MM slash YYYY
Result
*
Tuberculosis Active Exposure
*
Yes
No
Unknown
Chest X-Ray Date
*
DD slash MM slash YYYY
Referreences
Name
*
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Rev.
Title
First
Last
Position/Relationship
*
Best Contact No
*
Name
*
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Rev.
Title
First
Last
Position/Relationship
*
Contact No
*
Upload an additional Reference/s you would like to share
Drop files here or
Select files
Max. file size: 256 MB.
Declaration
I Declare That The Above Information Is True And Correct, And I Acknowledge That The Deliberate Giving Of Information Will Result In This Application Not Being Processed
*
Yes
No
How Did You Hear About Mac Healthcare?
*
Magazine
Website
Referral
Advertising
Other