SVHS Graduate Certificate in Palliative Care Nursing
Please complete the form below to apply for this program delivered in partnership with University of Notre Dame Australia.
Full Name
*
First Name
Middle Name
Last Name
Email
*
example@example.com
Current Address
*
Street Address
Street Address Line 2
City
State
Post Code
Are you currently employed at St. Vincent's Hospital Sydney?
*
Please Select
Yes, permanent full-time
Yes, permanent part-time
No
Other
If 'other', please state your employment status:
Current area/ward of employment:
*
Qualifications
Please attach your Curriculum Vitae as a pdf document.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How many months/years of nursing experience (excluding new graduate program) will you have by December 2024?
*
Enter number of completed years followed by months. Example: 2 years and 2 months
When did you last complete tertiary studies?
*
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 your first course?
*
Please Select
Sem 2 2024 (July)
Semester 1 2025 (February)
Other
Supporting Evidence
Please state your reasons for wishing to undertake this course?
*
Please outline your future career goals.
Do you have a query about the program?
Professional references
If you are submitting an application to enrol in the program, please supply contact details of two nursing referees; one should be your current nursing managerĀ supporting your application. This is a requirement for SVHNS staff for a successful application to the program.
Nursing Referee 1
Position
Organisation
Contact number
Email
Nursing Referee 2
Position
Organisation
Contact number
Email
Please verify that you are human
*
Save
Submit
Should be Empty: