Employ­ment Appli­ca­tion Form

Thank you for your inter­est in join­ing the ProMED Tas­ma­nia team. Please com­plete all sec­tions of this appli­ca­tion form care­ful­ly and in full. Ensure any request­ed sup­port­ing doc­u­men­ta­tion is attached pri­or to sub­mis­sion. If you have any ques­tions, please con­tact us before sub­mit­ting your application.

Applicant Details

Full Name
Residential Address

Licences/Registrations

Registration to Work with Vulnerable People

Do you hold a current Tasmanian Registration to Work with Vulnerable People (RWVP)?

Drivers Licence 

Do you hold a current Tasmanian driver's licence?

Drivers Licence Class
National Police Check 

Do you hold a current National Police Check (issued within the past 3 years)?

Qualification Details

Qualifications Held
AHPRA Registration 

Do you hold current AHPRA registration?

Vaccinations

Diphtheria, Tetanus, Pertussis (dTpa) 

Do you have a record of dTpa vaccination or booster in the past 10 years?

Hepatitis B 

Do you have a record of Hepatitis B vaccination or confirmatory serology?

Measles, Mumps, Rubella (MMR) 

Do you have a record of MMR vaccination, confirmatory serology, or a birth before 1966?

Varicella (Chickenpox) 

Do you have a record of Varicella vaccination, confirmatory serology, or records of natural immunity to Varicella?

Influenza 

Do you have a record of Influenza vaccination in the past 12 months?

Resume/Curriculum Vitae (CV)

Applicant Statement

Please ensure your response is 400-500 words in length