(Please complete all details electronically )
Surname:
First Name:
Residential Address:
State/Territory:
Email address ( not university address
):
Telephone: (Home) (Mobile)
I have completed/will complete my Bachelor of Nursing Degree in 2014 - 2016 Yes  No 
Applicants need to have completed or will complete studies between November 2014 and June 2016
Are you currently registered: Yes  No 
If no, when will you be eligible to register with the Australian Health Practitioner Regulation
Agency (AHPRA)? Please note this must occur prior to program commencement.
Approximate date:
Are you an Australian Citizen / Permanent Resident? Yes  No 
If no, do you hold a current valid visa that allows you to work Yes  No  in Australia (this includes New Zealand citizens): Details: ......................................
– (Please select your preferred intake date)
 February 2016 OR  April 2016 OR  August 2016
– ( Please attach two professional written referee reports using TTPP 2016 template)
Name of referee 1: Name of referee 2:
Organisation:
Position Held:
Email:
Organisation:
Position Held:
Email:
Telephone: (Business Hours) Telephone: (Business Hours)
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1. Provides competent and safe patient care within an ethical, professional and quality framework and practices in accordance with the relevant legislation. Integrates organisational policy and guidelines with professional standards.
2. Adheres to the scope of practice of a Registered Nurse – Level 1. Aware of differences in accountability and responsibility between RN and EN and undertakes role according to the appropriate standard.
3. Considers and advocates for individuals and/or groups and their rights for nursing care within the organisational and management structure.
4. Be responsible for completing all professional development requirements and demonstrating competency as a beginning registered nurse within the graduate nurse program in the required timeframes.
5. Practices in a way that acknowledges the dignity, culture, values, beliefs and rights of individuals and/or groups. Adhere to safe practice and relevant legislation.
(please complete electronically)
Please read the selection criteria carefully and type your response on page 3 and 4
 In no more than 2 pages (half a page per question) answer each selection criterion.
 Include an example of how you have demonstrated each criterion in your nursing practice to deliver quality patient care .
1. Outline your professional responsibilities as an RN in the clinical environment.
2. Describe how you will implement the four ACT Health Core Values into your clinical practice?
3. How do you ensure that you are an effective member of the healthcare team?
4. Explain why the Nursing Process is essential in your patient care?
Please complete this electronically as part of the Application Form using Arial 11 font, single spacing and standard margins.
Note: Please keep statement within the recommended two page limit
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Selection Criteria .1.
Selection Criteria .2.
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Selection Criteria .3.
Selection Criteria .4.
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Employment decisions will be based on:
1. Completed application form inclusive of the two page selection criteria (4 questions)
2. Referee reports (Professional) x 2 – Required: 1 x clinical and 1 x paid employment or 2 x clinical
3. Satisfactory University transcript - Academic history to date
4. If not an Australian citizen or permanent resident – holds a current work rights VISA for Australia
5. Short listing will take place from the above submitted documentation. Short listed applicants will be invited to attend an Interview and Assessment Centre on either the 4, 7 or 8 September 2015. At this time all elements of the application process will be considered including performance at
Interview and assessment at the Assessment Centre.
(Please ensure you have attached all documents)

Curriculum Vitae attached

University transcript attached

Read and Acknowledged Duty Statement of a Registered Nurse (page 2)

Selection Criteria – 4 criterion (no more than 2 pages, Arial 11 font, single spacing) attached

I am an Australian Citizen/Permanent Resident or

I hold a valid, current VISA (such as a 485) that allows me to work in Australia

Two written referee reports using the ACT Health TTPP 2016 referee template (attached)

I have completed all sections of the application form and acknowledge the information provided is true and correct
 eSignature of applicant: ______________________________ Date: ____________________
Closing date for ALL 2016 intakes (February, April and August) COB Wednesday 22 July 2015
Please note that incomplete or late applications will not be considered.
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If you have any questions please contact:

Transition to Practice Program Coordinator Deborah Moore:
Deborah.moore@act.gov.au
or phone (02) 61747057 ;

Graduate Nurse Educator Ainslie Monson: Ainslie.monson@act.gov.au
or phone
(02) 62443529 ;

Graduate Nurse Clinical Development Nurses phone (02) 6244 4113 .
If you experience any difficulties with the e-recruitment system eg uploading of documents, please contact the e-recruitment hotline on 62071450.
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