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Graduate Mental Health Nurse Program 2019
Page 1 of 8
NorthWestern Mental Health: Graduate Mental Health Nurse Program Application Kit 2019
Instructions to applicants:
If you are participating in the Postgraduate Medical Council of Victoria (PMCV) -
Computer Matching Service: Graduate Nurse/Midwifery Program (GNMP) Match,
you need to list NorthWestern Mental Health as one of your preferences.
Please upload all documents to Melbourne Health Mercury eRecruit, position #39095
https://melbournehealth.mercury.com.au/
1. Please write in Black or Blue pen using CAPITAL LETTERS or fill out
electronically.
2. You must include with this form:
a. Cover letter with resume
b. Resumé
c. Certified copy1 of academic transcript – most recent (grading system codes provided)
d. Certified copy1 Year 2 & 3 Clinical evaluations (mental health and medical/surgical)
3. Include all supporting documents requested with this application i.e. transcripts of results and clinical
evaluation forms from Year 2 & 3 of your degree
4. All documents must be certified1 as true copies of the original documents.
5. Complete the attached clinical rotation preference form on page 6.
6. The closing date for applications is Friday 20th July 2018.
1. Type of application
☐ Computer Match ☐ Direct
Please tick one
1 Please refer to the Australian Health Practitioner Regulation Agency information on certifying documents, available https://www.ahpra.gov.au/Registration/Registration-Process/Certifying-Documents
Please affix one
passport photo in
this box
(glue or staple)
Graduate Mental Health Nurse Program 2019
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2. Personal details
☐ Mr ☐ Mrs ☐ Ms ☐ Miss ☐ Other:
Please specify
___________
Surname: ________________________________ Computer match number: ____________________
Given names: _________________________________________________________________________________
Date of birth: ________________________________ Do you have a driver’s licence? ☐ Yes ☐ No
Address for correspondence: ___________________________________________________________________
Suburb: ________________________________ Postcode: ___________________________________
Telephone: Mobile: ___________________ Home: ____________________ Work: ___________________
Email: _________________________________________________________________________________
Are you currently registered as a Division 2 Nurse? ☐ Yes ☐ No
Are you an Australian Citizen or Permanent Resident? ☐ Yes ☐ No
If no, what is your Visa status?
Visa type: _________________________
Visa expiry: _________________________
Passport Nº: _________________________
Visa expiry: _________________________
Graduate Mental Health Nurse Program 2019
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3. Academic qualifications
A certified copy1 of your academic transcript(s) must be attached. Codes for grading must be included.
Undergraduate program
Academic Institution: _________________________________________________________________________
Student ID: _________________________________________________________________________
Attended from: _________________________________________________________________________
Attended to: _________________________________________________________________________
Qualification: _________________________________________________________________________
Did you study a mental health major? ☐ Yes ☐ No
If applicable: Any previous graduate year program/first year post registration experience
Employing health service: ____________________________________________________________________
Types of clinical experience: ____________________________________________________________________
Dates completed: ____________________________________________________________________
4. Police check
Applicants will be required to undergo a national Police Records Check (PRC) and in some cases a Working
with Children Check (WWCC) for pre-employment screening purposes.
Have you been found guilty of an offence (other than traffic infringement) of any nature in Australia or
overseas? ☐ Yes ☐ No
If yes, please attach/provide further information/documentation
5. Education and employment history
Upload a Résumé to Melbourne Health Mercury eRecruit, position #39095
https://melbournehealth.mercury.com.au/ and include:
all tertiary and/or nursing qualifications
employment history (include any prior employment)
all nursing experience detailing the length and type of experience (include dates)
any relevant nursing short courses/seminars attended
1 Please refer to the Australian Health Practitioner Regulation Agency information on certifying documents, available https://www.ahpra.gov.au/Registration/Registration-Process/Certifying-Documents
Graduate Mental Health Nurse Program 2019
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6. Referees
Please provide the contact details of three referees.
The Clinical referee should, where possible, be able to comment on your recent clinical performance
relevant to mental health nursing.
The Employer referee may be any employer who can comment on your general work performance.
Academic Referee
Name: _________________________________________________________________________
Academic Institution: _________________________________________________________________________
Position held: _________________________________________________________________________
Address: _________________________________________________________________________
Email: _________________________________________________________________________
Telephone: _________________________________________________________________________
Mobile (if applicable): _________________________________________________________________________
Clinical Referee
Name: _________________________________________________________________________
Organisation: _________________________________________________________________________
Position held: _________________________________________________________________________
Address: _________________________________________________________________________
Email: _________________________________________________________________________
Telephone: _________________________________________________________________________
Mobile (if applicable): _________________________________________________________________________
Employer Referee
Name: _________________________________________________________________________
Organisation: _________________________________________________________________________
Position held: _________________________________________________________________________
Address: _________________________________________________________________________
Email: _________________________________________________________________________
Telephone: _________________________________________________________________________
Mobile (if applicable): _________________________________________________________________________
Graduate Mental Health Nurse Program 2019
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7. Describe in your own words what you consider to be the
“Essence of Mental Health Nursing”
Please complete this section in your own handwriting.
Do not exceed 400 words
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Graduate Mental Health Nurse Program 2019
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8. Clinical placement preference form
NorthWestern Mental Health is a multi-site program. In order to provide the highest quality Graduate Nurse Program, we utilise the full range of services from within NWMH. These services are located in Area Mental Health Services across a large portion of Melbourne’s western and northern localities, and are attached to the major hospital for those areas.
Graduates may rotate from one Area Mental Health Service to another within the course of the Mental Health Graduate Nurse Program. To assist with your clinical placements please print your name, and number the boxes to identify your preferred placements.
You must select preferences in all THREE lists. Availability of clinical rotations is subject to many variables and as such your allocated rotation may vary from the selections you make. NWMH will make every effort to accommodate your higher preferences, but cannot guarantee your preference.
Name: _________________________________________________________________________
Clinical Venues List One (Acute) Indicate your preferences by numbering the boxes from 1 through 5
1 being your MOST preferred and 5 being your LEAST preferred
Indicate
preference
number
1. Royal Melbourne Hospital Acute Adult Inpatient Unit (John Cade 1)
2. Sunshine Hospital Acute Adult Inpatient Unit (SAAPU)
3. Broadmeadows Health Service Acute Adult Inpatient Unit (BIPU)
4. Northern Hospital Acute Adult Inpatient Unit (NPU)
5. Orygen Youth Program Young Persons’ Acute Inpatient Unit (Western Hospital Footscray Campus)
Clinical Venues List Two (Sub Acute) Indicate your preferences by numbering the boxes from 1 through 6
1 being your MOST preferred and 6 being your LEAST preferred
Indicate
preference
number
1. Northern Area Mental Health Service Northern Community Care Unit (Preston)
2. Mid-West Area Mental Health Service St Albans Community Care Unit
3. North West Area Mental Health Service Broadmeadows Community Care Unit
4. Inner West Area Mental Health Service Norfolk Terrace Community Care Unit (Flemington)
5. Royal Melbourne Hospital Neuropsychiatry/Eating Disorders
6. Sunshine Hospital Adult Mental Health Rehabilitation Unit
Clinical Venues List Three (Aged) Indicate your preferences by numbering the boxes from 1 through 2
1 being your MOST preferred and 2 being your LEAST preferred
Indicate
preference
number
1. Sunshine Hospital Aged Persons’ Acute Inpatient Unit
2. Broadmeadows Health Service Aged Persons’ Acute Inpatient Unit
Graduate Mental Health Nurse Program 2019
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9. Where did you first learn about this program?
☐ Colleague
☐ Website
☐ ACN nursing expo
☐ Whilst on clinical placement at NorthWestern Mental Health
☐ Academic lecturer / tutor
☐ University visit by NorthWestern Mental Health staff
☐ Other, please specify: ______________________________________________________________________
10. Documentation checklist
Below is a list of documents required in support of your application?
Please tick the relevant boxes to indicate documents attached to your application.
Please note: Applications cannot be processed unless all documentation is provided.
☐ Application Form correctly completed with passport photo attached
☐ Cover letter with resume
☐ Resume
☐ Three referees nominated (clinical, academic, employer)
☐ Certified copy1 of academic transcript – most recent (grading system codes provided)
☐ Certified copy1 Year 2 & 3 Clinical evaluations (mental health and medical/surgical)
☐ Completed clinical preference form (page 6 of this application kit).
11. Declaration
I acknowledge that this application is submitted and received on the understanding that NorthWestern
Mental Health may obtain official records with respect to me from any other institution currently or
previously attended by me or from my current employment agency.
I declare that to the best of my knowledge the information supplied herein is current and complete. I
acknowledge that the provision of incorrect information or the withholding of relevant information relating
to my application may result in the withdrawal by NorthWestern Mental Health of any place that may be
offered.
1 Please refer to the Australian Health Practitioner Regulation Agency information on certifying documents, available https://www.ahpra.gov.au/Registration/Registration-Process/Certifying-Documents
Signature of applicant: _______________________________ Date: _______________________________
Graduate Mental Health Nurse Program 2019
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12. Additional information:
Please upload your application kit along with supporting documents to Melbourne Health Mercury eRecruit,
position #39095 https://melbournehealth.mercury.com.au/
Note that prospective Victorian graduate nurses will need to apply through Computer Match as well as to
NorthWestern Mental Health.
Apply to Postgraduate Medical Council of Victoria (PMCV) - Computer Matching Service: Graduate
Nurse/Midwifery Program (GNMP) Match online at http://computermatching.pmcv.com.au/ before Friday
20th July 2018.
Any enquiries email: gpnp@mh.org.au
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