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Graduate Ambulance Paramedic Application Form doc HRIS and ...

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<strong>Ambulance</strong> Qualification<br />

Name of Course/Qualification:<br />

(Please indicate degree type<br />

(e.g.: Single, Double, Conversion))<br />

University Name:<br />

Year of Completion:<br />

Are you a graduate of a double degree in Bachelor of Nursing / Bachelor of<br />

<strong>Paramedic</strong>ine?<br />

Yes<br />

No<br />

If yes, are you interested in AV’s Inter-Professional <strong>Graduate</strong> (IPG) Program? Yes No<br />

Please note; the Inter-Professional <strong>Graduate</strong> Program (IPG) is only available to graduates of Bachelor of Nursing / Bachelor<br />

of <strong>Paramedic</strong>ine double degree . Applicants expressing interest in the IPG Program must successfully complete all elements<br />

of AV’s <strong>Graduate</strong> <strong>Ambulance</strong> <strong>Paramedic</strong> recruitment process in order to be considered for the IPG program. If your application<br />

is unsuccessful for a <strong>Graduate</strong> <strong>Ambulance</strong> <strong>Paramedic</strong> position, you will no longer be considered for the IPG program.<br />

Applicants who express interest in the IPG Program will not be disadvantaged in the application process for AV’s GAP<br />

program. All eligible applicants will be notified directly regarding further information about our current IPG Program.<br />

! Please provide a certified copy of the front <strong>and</strong> back of a current transcript which shows your latest<br />

results <strong>and</strong> current subjects being undertaken.<br />

Please note: your employment is subject to achieving successful overall results in your course subjects.<br />

<strong>Ambulance</strong> Victoria Employees<br />

Have you previously or are you currently employed by <strong>Ambulance</strong> Victoria?<br />

(Including Rural <strong>Ambulance</strong> Victoria or Metropolitan <strong>Ambulance</strong> Victoria)<br />

Yes<br />

No<br />

If Yes, please provide the following details:<br />

Start Date:<br />

End Date: (If applicable)<br />

Employment Title:<br />

Location:<br />

Employee number:<br />

If you are no longer with <strong>Ambulance</strong> Victoria, please provide details around why you ceased employment with us:<br />

Please note that internal reference checks will be completed for all current <strong>and</strong> previous AV employees<br />

<strong>and</strong> volunteers.<br />

TRIM: HUM/29/106-2<br />

GAP Recruitment <strong>Application</strong>

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