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Pandemic Applicant QuestionnairePersonal DetailsName:Town:Phone:Email:Working History Comment Current employee of NSW Health and if so where?Qualifications (Clinical or Corporate)Year of ExperienceCurrent or Previous Registration (if nurse, doctor, radiographer, dental, AHP, OT, Pharmacist, Physio or Psychologist)AHPRA registration numberIf Medical Practitioner please provide your Medical Board of Australia Registration number Do you have a current WWCCAre you a student or undergrad?Working Experience - ClinicalComment Do you have experience working in Acute (e.g. Emergency, ICU or CCU)Do you have experience working in Aged CareDo you have experience working in Community HealthDo you have experience working in Specialty (e.g. Counselling or Palliative Care)Are you FLEC (First Line Emergency Care) Accredited Do you have an immunization certificate (to administer immunizations)Working Experience – Support Non Clinical Do you have experience in Administration (e.g. medical receptionist or general) Do you have experience IT systems administration (e.g. technical support or helpdesk)Do you have experience in support services (e.g. cleaning, catering, wardsperson or SSD)Do you hold a current security license, first aid certified (last three years) and experience?AvailabilityWhat towns could you work in?How many hours a week would you be able to work?When would you be able to start/how much noticeReferee contact detailsCurrent work related referee Name:Contact number:Email:When would be an appropriate time to call?Thankyou for completing the questionnaireOur Recruitment Manager is on standby to hear from you at brett.meyers@health..au? ................
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