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Page 1 of 8 Graduate Mental Health Nurse Program 2020 NorthWestern Mental Health: Graduate Mental Health Nurse Program Application Kit 2020 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 #47118 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 copy 1 of academic transcript – most recent (grading system codes provided) d. Certified copy 1 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 certified 1 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 19 th July 2019. 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

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Page 1: NorthWestern Mental Health: Graduate Nurse Program ... · Cover letter with resume ☐ Resume ☐ Three referees nominated (clinical, academic, employer) ☐ Certified copy. 1. of

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Graduate Mental Health Nurse Program 2020

NorthWestern Mental Health: Graduate Mental Health Nurse Program Application Kit 2020

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 #47118https://melbournehealth.mercury.com.au/

1. Please write in Black or Blue pen using CAPITAL LETTERS or fill outelectronically.

2. You must include with this form:a. Cover letter with resumeb. Resuméc. 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 andclinical 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 19th July 2019.

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

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Graduate Mental Health Nurse Program 2020

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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: _________________________

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Graduate Mental Health Nurse Program 2020

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 #47118

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

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Graduate Mental Health Nurse Program 2020

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): _________________________________________________________________________

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Graduate Mental Health Nurse Program 2020

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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 2020

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

4. Northern Hospital Epping 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

Broadmeadows Adult Inpatient Unit (BIPU)

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Graduate Mental Health Nurse Program 2020

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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: _______________________________

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Graduate Mental Health Nurse Program 2020

12. Additional information:

Please upload your application kit along with supporting documents to Melbourne Health Mercury eRecruit, position #47118 https://melbournehealth.mercury.com.au/ (available from Monday 10th June 2019).

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/ beforeFriday 19th July 2019.

Any enquiries email: [email protected]