Nurse Registration Form

Are you a citizen of Australia?*
YesNo

Do you have children?*
YesNo

Do you smoke?*
YesNo

Do you own a car?*
YesNo

Do you have a current First Aid Certificate and CPR Certificate?*
YesNo
Please attach a copy of your certificate

Please attach a copy of your registration

Availability / Monday to Friday only*
DaysEveningsNights

Please provide proof of current immunisation list

Professional experience (please tick boxes that relate to your experience)
Care of babies 0-3 monthsCare of babies 3-6 monthsCare of babies 6-12 monthsCare of children 1-2 yearsCare of children 2-5 yearsSole charge of children

How did you hear about Mothercraft for Babies?*:
Industry/Word of mouthGoogle searchFacebookOther (please specify)

Terms and Conditions

Based on the information/documentation you provide with this Registration form you will be interviewed and reference checked by the Director and Founder of Mothercraft for Babies Beth Barclay at a mutually agreed time.

If successful you will then be provided with the appropriate documentation for casual employment and formally inducted.

A Letter of Engagement will be offered for your agreement and signature.

Please ensure you attach the photocopies of supporting documentation or bring with you to your interview.

Checklist
Current driver’s license
Nursing Registration documents
Current First Aid/CPR Certificate
Current Immunisation record eg Whooping Cough/COVID 19
Reference checks (contact details of three relevant 2-3 referees with you at interview)
Current Working with Children Check