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Step 1 of 16

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Information for Applicants:

To proceed with your application you must have scanned copies of the following documents:

• Current Full Victorian Drivers License (colour copy of both back and front)
• Five (5) year Demerit Point Extract from VicRoads
• Resume
• A copy of Certificates to support your qualification(s) which you have listed in your Curriculum Vitae (PTO, Diploma Paramedicine, Bachelor Paramedicine, RN, RN-CC)
• AHPRA Document (if applicable)
• Current First Aid - HLTAID011
• Current Advanced Resuscitation - HLTAID015
• Driving Component - HLTOUT007 - Transporting NEP under Operational Conditions
• Vaccination / Immunity Record Requirement: (mandatory)
• Measles/Mumps/Rubella – Blood results demonstrating immunity to all three
• Varicella Virus (Chicken Pox) – evidence of 2 Vaccinations PLUS a copy blood results demonstrating immunity to Varicella.
• Hepatitis B – evidence of at least 3 vaccinations PLUS a copy of blood results demonstrating immunity to Hepatitis B
• Pertusis (Whooping Cough) – evidence of your most recent booster of Pertusis containing vaccine within the past 10 years
• Employee Working with Children's Check Card
• Current National Police Check dated within 6 months of application - reason for check: PTO or ATA or RN1 (Ambulance) issued by an accredited body on the Australian Criminal Intelligence Commission (ACIC).
www.acic.gov.au

 • If you work for Ambulance Victoria as an ACO, a letter of approval for secondary employment is required.

Once you have submitted an application, the process is as follows:

Each step must be successfully completed before proceeding onto the subsequent step.
• The Applicant completes the application form and submits all required documents; preferably via email.
Note: It is understood that sometimes applicants may not have all the required documentation at the time of application. If not, you must be working towards completing and submitting all the required documentation as soon as possible.
• Applicants are shortlisted.
• Interviews are scheduled.
• A driving test, OH&S and stretcher handling assessment are booked.
• Applicants will be assessed after the interview and driving test and if considered suitable will be offered an Observer Shift with a crew. This is an unpaid shift.
• Referees are checked.
• If both parties wish to continue the next steps are orientation and employment.

Name of Applicant:

Name*
Max. file size: 128 MB.

Position being applied for:

Please hold the 'Ctrl' key on your keyboard to select multiple locations.

Address Details:

Address
Postal Address
Postal Address*

Contact Details:

Qualifications:

Please attach copies of all qualifications and certificates of attainment
Max. file size: 128 MB.
Max. file size: 128 MB.
Max. file size: 128 MB.
Max. file size: 128 MB.

Government Checks:

Are you an Australian Citizen/Permanent Resident?*
Do you have a working visa?*
NB: to be eligible for employment, applicants must have the appropriate work visa or have Permanent Residency status.
Are you Aboriginal or Torres Strait Islander?*
Do you have a current Nursing Registration?*
Max. file size: 128 MB.
Max. file size: 128 MB.
Must be issued within the last 6 months.
Example Police Check
Drop files here or
Max. file size: 128 MB.
    Example Working with Children Check

    Relevant Medical History:

    The position you are applying for will involve a reasonable level of physical activity.
    Do you have any pre-existing/current injury, disease and/or illness of which you are aware or that you could reasonably be expected to foresee, which could be affected by the nature of the duties and responsibilities of the position for which you are applying?*

    Note: Failure to make such a disclosure or the making of a false or misleading disclosure forfeits you the right to compensation under the Accident Compensation Act 1985

    Police Record:

    Do you have any convictions, findings of guilt and/or pending police charges against you that are less than 10 years old:*

    Driving Record:

    Is your licence endorsed?*
    i.e. heavy vehicle etc
    Are there conditions / restrictions on your licence?*
    Are there currently any matters pending which could result in your licence being cancelled or restricted?*
    Max. file size: 128 MB.
    Example Victorian Drivers Licence Front
    Max. file size: 128 MB.
    Example Victorian Drivers Licence Back
    Max. file size: 128 MB.
    Example Demerit Point Extract from VicRoads

    Current Employment Details:

    Are you currently employed?*

    Immunisation Requirements: Mandatory

    Please attach scanned copies of evidence.
    Max. file size: 128 MB.
    Evidence of at least 3 adult vaccinations.
    Example Evidence of Immunity
    Max. file size: 128 MB.
    Results of immune status (blood test – Hepatitis B Surface Antibody)
    Example Hepatitis B Serology
    Max. file size: 128 MB.
    Results of blood test demonstrating immunity to Varicella.
    Example Varicella (chicken pox) - Serology
    Max. file size: 128 MB.
    Evidence of most recent booster of Pertussis containing vaccine during adulthood (maximum 10 years)
    Example Pertussis
    Max. file size: 128 MB.
    Results of blood test demonstrating immunity to Measles, Mumps and Rubella (all three).
    Example Measles / Mumps / Rubella - Serology
    Max. file size: 128 MB.
    Proof of current year's vaccination for influenza.
    Example Influenza/COVID-19 Vaccination

    Immunisation Requirements: Recommended

    Please attach scanned copies of evidence.
    Max. file size: 128 MB.
    Please upload proof of completion as documented in the COVID-19 digital certificate from the Medicare App.
    Max. file size: 128 MB.
    Proof of most recent booster
    Max. file size: 128 MB.
    Proof of completion of Meningococcal vaccine course
    Max. file size: 128 MB.
    Proof of completion of Hepatitis A vaccine course.

    If your application is successful the below availabilities will be relied upon in scheduling your shifts with Health Select.
    Please hold the 'Ctrl' key on your keyboard to select multiple days.
    Do you have any holidays booked?*

    Referree 1:

    Name*

    Referree 2:

    Name*

    Universal Student Number

    The Universal Student Number is a number assigend to you by your Educational Institution
    Certification:*
    I hereby certify that the information provided in this Application for Employment form is correct and completed to the best of my knowledge and belief. I understand that, if I am employed, I will be subject to disciplinary action if any of the statements in my application are found to be deliberately false or misleading.
    Name*

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