Registration

Registration Form

When Nurses apply for work through Swingshift Nurses, they are required to fill out an application form.

Please Note that this application is ONLY for Registered Nurses! If you wish Information about how to become a nurse in Australia, please go to the Australian Nursing Council site for more information. See LINKS

Name:	Given Name:	Surname:

Address:	Street and No	City/Suburb

	State (Australia only)	Country

	Postcode

	Contact Phone:	Contact Email:


Registration type:

Are you Registered in Victoria?		Yes	No

Comments or Information Request? :

All Fields are required for this form to work!