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Nursing Registration / Enrolment

Register your details for placement with CQ Nurse on the Nurse Registration Form below - save yourself a phone call, let us know a suitable time to call and we'll catch up with you.

Resume Format Required:

If you wish to submit a Resume, please download and complete the Standard Resume provided below. Maintaining your resume in this standard format allows us to quickly access relevant data for employers seeking staff with specific qualifications.

Standard Resume Download

Standard Resume Format	30/07/2007

Download Resume

NURSE REGISTRATION FORM

Title First Name Last Name

My Availability To Work:

I can start work FROM: - TO format: 00/00/0000
Leave blank if unknown

I can work for:

Address

Town/Suburb State Postcode

Postal Address

Email Phone [Home] Mobile

Fax

Type of Nurse you are

Registered Nurse (RN)

Registered Midwife (RM)

Endorsed Enrolled Nurse (EEN)

Enrolled Nurse (EN)

Assistant in Nursing (AIN)

Care Support Worker

Areas of Nursing Expertise Areas of Nursing Interest

Geographical Areas of Interest (if any) Best time to be called Best day to be called

Please Note:
If you wish to send us a resume, please download this Standard Resume form, complete it, and attach it by clicking on the browse button below. Maintaining your resume in this standard format allows us to quickly access relevant data for employers seeking staff with specific qualifications.

To attach your completed Standard Resume, click on the browse button below and find the file on your computer, then double-click the file to attach it to this form.

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