Please indicate which program/s you are applying for: (check multiple boxes if applying for more than 1 program) Graduate Program Nursing (August 2018 intake) – Graduate Program Midwifery (August 2018 intake) – Graduate Program - Double degree Nursing and Midwifery (August 2018 intake) Are you an interstate applicant? YES NO PERSONAL DETAILS Surname: First name: Middle/Preferred name(s): PMCV Candidate ID Number: Name of university you are completing your nursing/midwifery degree: Address: Phone: Personal Email (please do not use university student addresses): RESIDENCY STATUS Residency Status: If you are an international student please describe your current visa status: ENGLISH LANGUAGE SKILLS REGISTRATION STANDARD AND SKILLS ASSESSMENT Please read the issued by the Nursing and Midwifery Board of Australia before completing this section. Are you required to sit an English Language Test? YES NO If you are required to sit an English Language Test please indicate your progress in obtaining a test result: Test not booked Test booked, awaiting results. Date of booked test: Test already done and minimum requirement for registration achieved. Date of test: Result: Are you required to sit an ANMAC Skills Assessment? YES NO If you are required to sit a Skills Assessment please indication your progress:
Please indicate which program/s you are applying for: (check multiple boxes if applying for more than 1 program) Graduate Program – Nursing (August 2018 intake) Graduate Program – Midwifery (August 2018 intake) Graduate Program - Double degree Nursing and Midwifery (August 2018 intake) Are you an interstate applicant? YES NO PERSONAL DETAILS Surname: First name: Middle/Preferred name(s): PMCV Candidate ID Number: Name of university you are completing your nursing/midwifery degree: Address: Phone: Personal Email (please do not use university student addresses): RESIDENCY STATUS Residency Status: If you are an international student please describe your current visa status: ENGLISH LANGUAGE SKILLS REGISTRATION STANDARD AND SKILLS ASSESSMENT Please read the issued by the Nursing and Midwifery Board of Australia before completing this section. Are you required to sit an English Language Test? YES NO If you are required to sit an English Language Test please indicate your progress in obtaining a test result: Test not booked Test booked, awaiting results. Date of booked test: Test already done and minimum requirement for registration achieved. Date of test: Result: Are you required to sit an ANMAC Skills Assessment? YES NO If you are required to sit a Skills Assessment please indication your progress: