Please attach your current resume.*

Personal Details
What is your title?*
First name?*

Address Details

Contact Details
Home Phone Number
Mobile Phone Number*
Email Address*


Skill Skill Group Skill Type

Residency Status
Are you a Citizen or Permanent Resident of Australia?*
If you are NOT a Citizen or Permanent Resident of Australia please enter your visa expiry date.

AHPRA Registration Details
AHPRA Number*

What type/s of work are you looking for?
(At least one of these must be completed.)*
Are you looking for Nurseline Agency Shifts?*
Are you looking for Permanent Health Roles?*

Which area would you like to work in?
Would you consider working in Southern Tasmania?*
Would you consider working in the North and or North West of Tasmania?*

Is there any further information you would like to share?

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