2025 SVH Postgraduate Intensive Care Nursing Course
Applicant's Name
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First Name
Last Name
Applicant's Email
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example@example.com
Applicant's Contact Number
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Please enter a valid phone number.
Applicant's Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you currently employed at St Vincent's Hospital Sydney?
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Yes, Permanent Full-time
Yes, Permanent Part-time
No
Other
Nursing Qualifications
Please attach your Curriculum Vitae as a pdf document
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How much intensive care nursing experience (excluding Registered Nurse Transition Program also known as Gradstart in NSW Health or Pathways to Practice rotations) will you have by February 2025?
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6-12 months
12 months -2 years
2-3 years
Other
When did you last complete tertiary studies?
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I am currently studying
0-12 months ago
1-5 years ago
5-10 years ago
>10 years ago
When do you plan to enrol in NRSG524 Advanced Pathophyiology for Specialty Nursing Practice?
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Do you hold current Advanced Life Support (ALS) accreditation?
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Yes
No, but I will by February 2024
Supporting Evidence
Please state your reasons for wanting to undertake this course.
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Please explain how you meet the student selection criteria for this course, as specified in the course information brochure.
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Please outline your future career goals?
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Professional References
Supply contact details of two nursing referees; one should be your current nursing manager supporting your application.
Nursing Referee 1
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Current nursing manager supporting your application
Nursing Referee 1 Position
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Nursing Referee 1 Address
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Referee 1 Contact Number
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Referee 1 Email
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Nursing Referee 2
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Referee 2 Position
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Referee 2 Address
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Referee 2 Contact Number
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Referee 2 Email
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