Diploma of Nursing Course Application Form
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1 Diploma of Nursing 2018 Course Application Form
2 APPLICATION CHECKLIST Before you send this application in, please check that you have completed the following: Action Complete? Completed your personal details. (page 3) Ticked the offering/ offerings that you are interested in enrolling(page 3) Completed your student details. (page 5-6) Attached a copy of your HSC/ highest level of schooling Attached copies of any other academic transcripts. Provided evidence of schooling in English (HSC only provides evidence of two years schooling) OR Attached results of your English Language test Completed the section about your career plan and goals Signed the applicant declaration Provided us with two (2) referees You will need to print a hard copy and send this to us. Version 1.0 Page 2 of 10
3 YOUR PERSONAL DETAILS NAME: DATE OF BIRTH: GENDER: POSTAL ADDRESS: Suburb: Post Code: ADDRESS: HOME PHONE WORK PHONE MOBILE PHONE PLEASE TICK WHICH COURSE YOU WOULD LIKE TO ENROL IN Number Month College Theory Work Placement Application Closes April Brookvale Mater Hospital 6 th April, 2018 June Meadowbank NSLHD 25 th May, 2018 August Northern Beaches NSLHD 29th June, 2018 September Meadowbank Sydney Adventist Hospital 3rd August,2018 September St Leonards NSLHD 3rd August,2018 October St Leonards Ramsay Health 5 th September 2018 January 2019 Meadowbank Sydney Adventist Hospital 2 nd November 2018 February 2019 St Leonards Ramsay Health 23 rd November 2018 March 2019 St Leonards NSLHD 8 th February 2019 April 2019 Meadowbank Sydney Adventist Hospital 8 th March 2019 Version 1.0 Page 3 of 10
4 WHERE DO I SEND MY APPLICATION? Your application will go to a different place, depending on where you are applying, and whether your application is for a scholarship position with the Ministry of Health. Please refer to the table below. Application Contact person Phone number / website All NSLHD, Mater, Sydney Adventist Hospital Glenys Wensor glenys.wensor1@tafensw.edu.au Ramsay Health Kim Lally lallyk@ramsayhealth.com.au The closing dates for applications are correct at the time of publishing, but they may change. Please send your application in as soon as you can. We prefer to receive applications in hard copy. Please forward completed application: Glenys Wensor Head Teacher Nursing TAFE NSW - Meadowbank Campus Level 2, K Block See Street MEADOWBANK NSW 2114 PLEASE NOTE: YOUR APPLICATION WILL ONLY BE CONSIDERED IF ALL DOCUMENTS ARE SUBMITTED. ***PLEASE NOTE SUBMITTING AN HSC ONLY PROVIDES EVIDENCE OF TWO YEARS EDUCATION. IF YOU ARE CHOSEN FOR AN INTERVIEW YOU WILL BE REQUIRED TO COMPLETE A TAFE LITERACY AND NUMERACY TEST PRIOR TO THE INTERVIEW. Version 1.0 Page 4 of 10
5 STUDENT DETAILS All information will be treated confidentially. 1. Do you speak a language other than English at home? YES NO If yes please indicate what language: 2. Do you consider you have a disability, impairment or long-term condition? YES NO If YES then please indicate the appropriate condition/s Vision Intellectual Learning Physical Hearing/Deaf Mental Illness Medical condition 3. Are you of Aboriginal or Torres Strait islander origin? YES NO 4. Please indicate your citizenship or residency status An Australian Citizen A New Zealand Citizen An Australian Permanent Resident An Australian Temporary Visa Holder and my sub class is Version 1.0 Page 5 of 10
6 ENTRY REQUIREMENTS Please attach copies of your final schooling and/or certificates to support the academic requirements for enrolment. Please complete the following by ticking the boxes or by providing information where requested. ACADEMIC HISTORY 1. What is your highest successfully completed school level? Year 12 or equivalent Year 11 Year 10 Year 9 Year 8 or below 2. Have you completed a Certificate III qualification? YES NO 3. Have you completed a higher qualification? eg Degree or Higher Degree, Advanced Diploma or Associate Degree, Diploma or Certificate IV. YES NO List the names of courses that you have completed or are currently enrolled in the table below: Please attach copies of any transcripts Course Name Institution State/Country Year Finished Qualification Gained Version 1.0 Page 6 of 10
7 LITERACY When you complete your qualification, you will need to be registered with Australian Health Practitioner Regulation Agency (AHPRA) and the Nursing and Midwifery Board Australia (NMBA). AHPRA have a minimum English language requirement. To ensure that you will meet that requirement, you must have attained adequate English levels, as indicated in one of the ways listed below. Schooling in English Written evidence of the completion of four (4) years education in English at secondary, vocational or tertiary level in EITHER Australia, Canada, New Zealand, Republic of Ireland, South Africa, United Kingdom or United States of America You will need to provide evidence in one of the formats below. A letter from your high school stating that you attended for at least 4 years School reports for at least 4 years A statutory declaration that you attended secondary school for 4 years Vocational or tertiary study that adds up to 4 years Successful completion of a recognised English test If you have not done your school/ vocational training in English, you will need to successfully complete ONE of the tests listed below. INTERNATIONAL ENGLISH LANGUAGE TESTING SYSTEM (IELTS) ACADEMIC test. Achievement of a minimum of 7 on each band (reading, writing, speaking and listening) OCCUPATIONAL ENGLISH TEST FOR NURSES (OET). Achievement of a pass at A or B level in each of the four components (reading, writing, listening and speaking) PTE ACADEMIC Minimum overall score of 65 and a minimum score of 65 in each of the four communicative skills (reading, writing, listening and speaking) TOEFL ibt Minimum total score of 94 and the following minimum score in each section of the test: 24 for listening 24 for reading 27 for writing 23 for speaking Version 1.0 Page 7 of 10
8 RELEVANCE TO CAREER PLAN OR GOALS What is the main reason for wanting to undertake this course? Include your career plan or goals and any other factors that are relevant to your application. STUDENT DECLARATION This form has been completed by me personally and the information I have given is correct I understand that the evidence I provide with my application will need to be verified at enrolment if I am made an offer I understand that this application does not guarantee a place in the course. YOUR SIGNATURE and DATE Signature: Date: Version 1.0 Page 8 of 10
9 REFEREES Please supply at least two (2) referees to support your application. Please include NAME, ADDRESS, PHONE CONTACT and for each person. NAME: ADDRESS: PHONE: CONTACT: NAME: ADDRESS: PHONE: CONTACT: Thank you for your application Please forward completed application: Glenys Wensor Head Teacher Nursing TAFE NSW - Meadowbank Campus Level 2, K Block See Street MEADOWBANK NSW 2114 glenys.wensor1@tafensw.edu.au Version 1.0 Page 9 of 10
10 TAFE NSW HEALTH & COMMUNITY SERVICES FACULTY 213 Pacific Highway ST LEONARDS NSW 2065 T Page 10 of 10
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