Job Application Form
Tell us about your details, work rights, experience, availability, and upload the required documents.
Personal Details
Full Name
*
First Name
Middle Name
Last Name
Mobile Number
*
Please enter a valid phone number.
Format: 0400 000 000.
Email Address
*
example@example.com
Residential Address
*
Professional Registration
Do you hold current AHPRA registration?
*
Yes
No
Not Applicable (PCA)
AHPRA Registration Number
Registration Type
Registered Nurse
Enrolled Nurse
What position are you applying for?
*
PCA
EN
RN
RN Incharge
CCC
AHS
AHPRA Registration Expiry Date
-
Month
-
Day
Year
Date
Residential Aged Care Experience
Have you received at least 2 doses of the COVID booster?
*
Yes
No
Years of experience working in Residential Aged Care
*
No experience
Less than 6 months
6 months – 1 year
1–2 years
2–5 years
More than 5 years
Most recent employer
Previous aged care employers
Which settings have you worked in?
Residential Aged Care
Hospital
Community Care
Disability
GP Clinic
Mental Health
Rehabilitation
Other
Work Rights
Current work rights status in Australia
*
Australian Citizen
Permanent Resident
New Zealand Citizen
Temporary Visa Holder
Bridging Visa
Other
Visa subclass
Please Select
Student Visa (Subclass 500)
Temporary Graduate Visa (Subclass 485)
Temporary Skill Shortage Visa (Subclass 482)
Working Holiday Visa (417)
Work and Holiday Visa (462)
Skilled Independent Visa (189)
Skilled Nominated Visa (190)
Skilled Work Regional Visa (491)
Bridging Visa
Other (please specify)
Does your visa have work hour restrictions?
No
Yes
Please describe your work restrictions
Visa expiry date
-
Month
-
Day
Year
Date
Driver's Licence & Travel
Do you hold a current Australian Driver's Licence?
*
Full Licence
Provisional Licence
International Licence
No Driver's Licence
Do you have reliable access to a vehicle for work?
*
Yes
No
How far are you willing to travel for shifts?
*
Please Select
Up to 10 km
Up to 20 km
Up to 30 km
Up to 50 km
More than 50 km
Are you willing to travel to multiple facilities?
*
Yes
No
Availability
Which shifts are you available to work?
*
Morning
Afternoon
Night
Sleepover (if applicable)
Which days are you available to work?
*
Rows
Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How many hours per week are you looking to work?
*
Casual (0–15 hrs)
Part-time (15–30 hrs)
Full-time (38+ hrs)
Flexible
Mandatory Documents
Resume
*
Upload a File
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of
AHPRA Registration Certificate
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of
Driver's Licence
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of
Police Check
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of
Working with Children Check
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of
CPR & First Aid Certificates
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of
NDIS Screening Check
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of
Current Flu Immunisation Record
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of
Current Covid Immunisation Record
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Which aged care software systems have you used?
AutumnCare
Leecare
iCareHealth
Epicor
Humanforce
Procura
None
Other
Declaration
I declare that the information provided is true and correct.
*
I declare
I consent to Aspire Nursing Agency verifying my qualifications, registration and work rights if required.
*
I consent
Submit Application
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