Home
Hospital Login
Careers
About us
About us
Our Team
Testimonials
Contact Us
Contact Us
Request a Quote
Leave Your Feedback
Employee Login
Step
1
of
16
6%
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
*
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Rev.
Prefix
First
Last
Resume:
*
Max. file size: 128 MB.
Position being applied for:
Job Title:
*
PTO
PTO-EEN
ATA
Student ATA
Registered Nurse
Registered Nurse Critical Care
Communications Centre
Other
Other:
*
Location(s):
*
Ballarat
Bendigo
Coburg
Inverloch
Shepparton
Traralgon
Vermont
Warragul
Head Office/Admin
Please hold the 'Ctrl' key on your keyboard to select multiple locations.
Address Details:
Address
Street Address
Address Line 2
Suburb
State
Post Code
Postal Address
Same as above
Postal Address
*
Street Address
Address Line 2
Suburb
State
Post Code
Contact Details:
Mobile:
*
Alternate Phone:
Email:
*
Qualifications:
Please attach copies of all qualifications and certificates of attainment
File
*
Max. file size: 128 MB.
Year Obtained:
*
File
Max. file size: 128 MB.
Year Obtained:
File
Max. file size: 128 MB.
Year Obtained:
File
Max. file size: 128 MB.
Year Obtained:
Government Checks:
Are you an Australian Citizen/Permanent Resident?
*
Yes
No
Do you have a working visa?
*
Yes
No
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?
*
Yes
No
Do you have a current Nursing Registration?
*
Yes
No
Please upload your AHPRA Document:
*
Max. file size: 128 MB.
Please upload your Police Check:
*
Max. file size: 128 MB.
Must be issued within the last 6 months.
Example Police Check
Please upload your current Employee Working with Children Check.
*
Drop files here or
Select files
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?
*
Yes
No
Please provide a brief description:
*
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:
*
Yes
No
Please provide brief details:
*
Driving Record:
Licence Number:
*
Expiry Date:
*
DD slash MM slash YYYY
Number of years held:
*
Is your licence endorsed?
*
Yes
No
i.e. heavy vehicle etc
Are there conditions / restrictions on your licence?
*
Yes
No
Please specify:
*
Are there currently any matters pending which could result in your licence being cancelled or restricted?
*
Yes
No
Please specify:
*
Current Full Victorian Drivers Licence: Front.
*
Max. file size: 128 MB.
Example Victorian Drivers Licence Front
Current Full Victorian Drivers Licence: Back.
*
Max. file size: 128 MB.
Example Victorian Drivers Licence Back
Five (5) year Demerit Point Extract from VicRoads.
*
Max. file size: 128 MB.
Example Demerit Point Extract from VicRoads
Current Employment Details:
Are you currently employed?
*
Yes
No
Name of current/recent employer:
*
Position held:
*
How long have you been with this employer?
*
Immunisation Requirements: Mandatory
Please attach scanned copies of evidence.
Hepatitis B - At least 3 vaccinations followed by immunity confirmed by serology.
*
Max. file size: 128 MB.
Evidence of at least 3 adult vaccinations.
Example Evidence of Immunity
Hepatitis B - Evidence of Immunity.
*
Max. file size: 128 MB.
Results of immune status (blood test – Hepatitis B Surface Antibody)
Example Hepatitis B Serology
Varicella (chicken pox) - Serology
*
Max. file size: 128 MB.
Results of blood test demonstrating immunity to Varicella.
Example Varicella (chicken pox) - Serology
Pertussis (whooping cough) - Booster within 10 years
*
Max. file size: 128 MB.
Evidence of most recent booster of Pertussis containing vaccine during adulthood (maximum 10 years)
Example Pertussis
Measles / Mumps / Rubella - Serology.
*
Max. file size: 128 MB.
Results of blood test demonstrating immunity to Measles, Mumps and Rubella (all three).
Example Measles / Mumps / Rubella - Serology
Evidence of current year's Influenza vaccination.
*
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.
COVID-19 Vaccination Evidence:
Max. file size: 128 MB.
Please upload proof of completion as documented in the COVID-19 digital certificate from the Medicare App.
Tetanus - Last booster date.
Max. file size: 128 MB.
Proof of most recent booster
Meningococcal - Completed course.
Max. file size: 128 MB.
Proof of completion of Meningococcal vaccine course
Hepatitis A - Completed 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.
Days Available:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please hold the 'Ctrl' key on your keyboard to select multiple days.
Do you have any holidays booked?
*
Yes
No
Please provide estimated dates:
*
Referree 1:
Name
*
First
Last
Name of Organisation:
*
Position Held:
*
Contact Email:
*
Referree 2:
Name
*
First
Last
Name of Organisation:
*
Position Held:
*
Contact Email:
*
Universal Student Number
The Universal Student Number is a number assigend to you by your Educational Institution
Please enter your USI:
*
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.
Certify
Name
*
First
Last
Date
*
DD slash MM slash YYYY
