Nursing Employment Registration Form

Nursing Employment Registration

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

Is your CV Up to Date?

Have a CV that you can attach for us?	Feel free to do so to allow us to process your application more efficiently.
Don't have a CV	You can download our version and add in your details and work history.
Need assistance with your CV?	See our attached FACT SHEET on the information on what we mean, when we ask for further information on your CV.
Please note: We are unable to sponsor nurses on 457 Visas. SEE ALSO: Entry into Australia - 457 visa.

Nursing Employment Registration Form
Title	First Name	Last Name

Address

Town/Suburb

State

Postcode

Postal Address

Phone [Home]

Mobile

Fax

Nursing Qualification

Registered Nurse (RN)

Registered Midwife (RM - Direct Entry)

Registered Nurse / Registered Midwife (RN / RM)

Remote Area Nurse (RAN)

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)

Please only upload documents of type: .doc , .docx or .rtf

Please attach your CV:

Please tell us how you heard about CQ Nurse?

OR
More Info (I.E. Facebook/Twitter/Website/Search Engine/Publication/Advertisement)

GOT ALL THE INFO YOU NEED FOR NOW?

If you have read and understood the information supplied on the CQ Nurse website regarding the Recruitment and Joining process and do not wish to receive a paper version, please tick this box.

** **

DID YOU SEE A JOB ADVERT THAT INTERESTS YOU?

If so, what was the reference number?


Validation Step 1
Before submitting your enquiry, type the two words displayed below into the field where prompted. If you cannot read the words, click the red arrows to display new words.

Validation Step 2

To obtain the final Submission code, click the Get Submission Code button, enter the required word into the Submission Code field, then Click the Submit Button.

Enter Submission Code Here

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Nursing Employment Registration

Is your CV Up to Date?

Please note: We are unable to sponsor nurses on 457 Visas.

SEE ALSO: Entry into Australia - 457 visa.

Nursing Employment Registration Form

Nursing Qualification