Registered Nurses, Enrolled Nurses, Home Care Employees |Toowoomba, Qld

Home Care Nurses Australia is collecting personal information from you as part of the recruitment and selection process.  Home Care Nurses Australia recognises the important of privacy and is committed to ensuring the privacy of your personal information collected and/or received by us.

1. Yes I agree to the privacy statement*

1. Title* Mr Mrs Ms Miss Dr Other
2. First name*
3. Last name*

1. E-mail*
2. Phone*

   Digits only or add + for international numbers

1. Street*
2. Street Cont.
3. City, Town or Suburb*
4. Postcode or Zipcode*
5. Country*Please choose... AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BRAZIL BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE INTERNATIONAL OTHER Unknown
6. State, Region or Province*Please choose...

1. LinkedIn URL

   (Please click on your profile and copy the URL from your profile page.)

1. Do you have the unrestricted right to live and work in Australia?*

   1. Yes - Australian or New Zealand Permanent Resident/Citizen
   2. Yes - I have a visa that allows me to work – please upload when prompted
   3. No - I require sponsorship – HCNA has an immigration sponsorship program. If your application is successful, you will receive an email with further details.
2. You are required to have an Australian Police Check or international equivalent to progress your application. Do you possess an Australian Police Check or international equivalent?*

   1. Yes – please upload when prompted
   2. No - we will email details to acquire an Australian Police Check
3. You are required to provide proof of identity to progress your application. Please provide two (2) proof of identity documents. Please upload when prompted.*

   1. Current passport or Birth certificate
   2. Australian drivers license
   3. Proof of age card
   4. Australian citizenship certificate
   5. Medicare card
4. Please select your preferred work setting. *

   1. Hospital only
   2. Community only – NDIS Clearance required, please upload when prompted
   3. Community + Hospital – NDIS Clearance required, please upload when prompted
5. What contract length are you open to considering? (Please tick all that apply)*

   1. 1-3 Months
   2. 3-6 Months
   3. 6-12 Months
   4. 12+ Months
6. Select the distance you are willing to travel from home to work.
   
   Driving times below are approximate. *

   1. Up to 10km/20 mins
   2. Up to 20 km/40 mins
   3. Up to 50km/60mins
   4. 100 km+
   5. Interstate (accommodation + Travel support options available)
7. If applicable, which locations in Queensland are you willing to work in? (Select all that apply) *

   1. Brisbane North
   2. Brisbane South
   3. Sunshine Coast
   4. Caboolture Region
   5. West Moreton Region
   6. South Coast Region
   7. Logan River Valley
   8. Darling Downs
   9. Wide Bay Region
   10. Fitzroy Region
   11. Mackay Region
   12. Northern Region
   13. Far North Region
   14. North West Region
   15. South West Region
   16. Central West Region
   17. Norfolk Island
8. If applicable, which locations in New South Wales are you willing to work in? (Select all that apply):

   1. Darling Downs (NSW)
   2. Far North Coast
   3. Mid North Coast
   4. Nepean Region
   5. Northern Sydney
   6. Western Sydney
   7. Inner West
   8. South Sydney
   9. New England
   10. Hunter Region
   11. Orana Far West
   12. Central West
   13. Central Coast
   14. South West Sydney
   15. Southern Highlands
   16. Riverina/Murray
   17. Illawarra
9. If applicable, which locations in Victoria are you willing to work in?

   1. Gippsland
   2. Hume
   3. Grampians
   4. Southern Highlands
   5. Loddon-Mallee
   6. Barwon-South Western
   7. Eastern Metro
   8. Southern Metro
   9. Western Metro
10. Which locations in South Australia are you willing to work in?
    
    (Select all that apply):

    1. Flinders
    2. Far North
    3. Eyre Peninsula
    4. Hills, Mallee & Southern
    5. South East
    6. Yorke, Lower North & Barossa
    7. Mid North
    8. Metro North
    9. Metro South
    10. Metro East
    11. Metro West
11. Which locations in the Australian Capital Territory are you willing to work in?
    
    (Select all that apply):

    1. Nicholls
    2. Mitchell
    3. Kaleen
    4. Bruce
    5. Molongio Corridor
    6. Curtin
    7. ACT South West
    8. Kambah
    9. Namadgi
    10. Fyshwick
    11. Majura
    12. Kowen
    13. Canberra East
    14. Hume
    15. Tuggeranong
12. Which locations in Western Australia are you willing to work in?
    
    (Select all that apply):

    1. Kimberley
    2. Pilbara
    3. Mid West
    4. Goldfields
    5. Wheat Belt
    6. Great Southern
    7. South West
    8. Metro North
    9. Metro East
    10. Metro North East
    11. Metro South East
13. Do you have a full current driver's licence?*

    1. Yes - please upload when prompted
    2. No
14. Do you have comprehensive car insurance?*

    1. Yes - please upload when prompted
    2. No
15. If successful, when can you start?*
16. Select your occupation.*

    1. Home Care Employee
    2. Enrolled Nurse
    3. Registered Nurse