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Full Name (AH)
Prefix
First Name
Last Name
Occupation
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Acupuncturist
Anaesthetic technician
Anaesthetist
Cardiac technician
Complementary health therapists (nec)
Dental specialist
Dentist
Dietitian
Health diagnostic and promotion professionals (nec)
Health promotion officer
Hospital pharmacist
Industrial pharmacist
Medical laboratory technician
Medical technicians (nec)
Naturopath
Nutritionist
Occupational health and safety adviser
Orthoptist
Pharmacy technician
Physiotherapist
Podiatrist
Psychotherapist
Resident medical officer
Retail pharmacist
Traditional Chinese medicine practitioner
Date Qualified
Main Address (AH)
Address Line 1
Address Line 2
City
State
Post Code
Country
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic (CAR)
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic (Czechia)
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (formerly Swaziland)
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (formerly Burma)
Namibia
Nauru
Nepal
Netherlands
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Nicaragua
Niger
Nigeria
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Norway
Oman
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Panama
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Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
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Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste (formerly East Timor)
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates (UAE)
United Kingdom (UK)
United States of America (USA)
Uruguay
Uzbekistan
Vanuatu
Vatican City (Holy See)
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Contact Information (AH)
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Mobile Telephone (Inc Country Code)
Status (AH)
Qualified
Police Check Completed
Literacy Test Passed
Skills Assessment Approved
Employment Offer Accepted
Medical Certificate
Health Insurance
PI Insurance
VISA Lodged
VISA Approved
OEC Lodged (Filipino)
OEC Approved (If Applicable)
Accommodation Arranged
Flights Booked
Employment Started
Other Information (AH)
Birthday
How many years have you worked in your profession?
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1 - 2 years
2 - 3 years
3 - 4 years
4 - 5 years
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AusPath's Facebook
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Why do you want to work in Australia?
Are you open to working in a regional, rural or remote location?
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No
Do you have family or friends in Australia?
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No
Do you intend to bring family to Australia?
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Do you have experience working outside of your country of residence?
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No
When would you like to work in Australia?
Which related departments have you worked in?
Tell us more about your current role.
Did anyone report to you? How many direct reports?
Tell me about a particular proud achievement or career highlight.
What are the 3 most important things you are looking for in your next position?
Additional Comments
Candidate State or Territory Preference (Mark all that applies)
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VIC
QLD
SA
WA
NT
ACT
What type of setting/s would you like to work in? (Select all that applies)
Residential Aged Care
Community and Home Care
Acute (Hospital)
Private Practice
Mental Health
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