Aged Care Candidate Intake Form by UniMinistry Candidate Intake — Aged Care Workforce Connect Tell us about your qualifications, experience and goals. The form takes about 15 minutes. Step 1 of 11 - Basic details 9% URLThis field is for validation purposes and should be left unchanged.Full name(Required)Date of birth(Required) DD slash MM slash YYYY Used to confirm age eligibility for relevant visa pathways.Country of current residence(Required)Phone number(Required)Include your country code.Email address(Required) Highest nursing/health qualification(Required)Name, institution and country.Qualification datesStart and completion (or expected completion).Additional qualificationsDiplomas, certificates — list all, even if not the highest.Current nursing registration bodye.g. Nepal Nursing Council.Registration number and date first registeredRegistration status(Required) Active Lapsed Other Any specialisatione.g. Gerontological Nursing — leave blank if none. Total years of relevant clinical/healthcare experience(Required)Most recent employer, role, and dates(Required)Setting of your most recent role(Required) Acute hospital ward Community health Aged care Other Previous employer(s), roles, and datesBrief description of your day-to-day duties in your most recent role(Required)Please describe specific tasks, not just a job title. Personal care tasks you're comfortable performing Personal hygiene support Showering/dressing assistance Mobility and transfer support Mealtime assistance Activities of daily living Additional clinical skills Medication administration IV cannulation Wound care Catheter care NG tube care EMR documentation Do you have dementia care experience?(Required) Yes No Please describe your dementia care experienceDo you have palliative care experience?(Required) Yes No Please describe your palliative care experience Are you willing to relocate to a regional or remote location?(Required) Yes No Are you willing to work weekends, nights, and school holidays?(Required) Yes No Realistic earliest start date(Required) DD slash MM slash YYYY Think in months rather than weeks, given realistic visa timelines. Self-assessed spoken English level(Required) Basic Conversational Fluent Have you sat an English test?(Required) Yes No Test type and scoreIELTS / PTE / OET.If you have not yet sat a test, are you willing to sit one? Yes No Passport expiry date(Required) DD slash MM slash YYYY Have you had any prior visa refusals, in any country?(Required) Yes No These must be disclosed — honesty here matters more than a clean answer.Please provide details of any visa refusalsAny health conditions you wish to disclose ahead of a formal medical exam?Optional and general only — this is not a substitute for the formal medical examination. Why are you interested in working in Australian aged care?(Required)Describe how you've handled a stressful moment with a patient or resident(Required)Reference contact: name, role, phone or email(Required)At least one supervisor. Are you interested in pursuing Registered Nurse registration in future? Yes No Maybe Have you completed an AHPRA self-check? Yes No AHPRA self-check outcome / stream Were you referred to UniMinistry by anyone?(Required) Yes No Name of the person who referred you(Required) CV / resume(Required)Accepted file types: pdf, doc, docx, Max. file size: 5 MB. Nursing registration certificateAccepted file types: pdf, jpg, jpeg, png, Max. file size: 5 MB. English test resultAccepted file types: pdf, jpg, jpeg, png, Max. file size: 5 MB. Collection notice. UniMinistry Foundation Ltd (ACN 670 161 430) collects the information in this form, including any health information you choose to provide, to assess your suitability for aged care roles with Australian providers. Your submission and documents are emailed securely to our team, stored with our service providers (which may include secure servers overseas), and automatically deleted from this website within 3 days. We handle personal information in accordance with our Privacy Policy. By submitting this form you grant UniMinistry permission to share your information and documents with third parties — including prospective employers and aged care providers, licensed migration professionals, and our service providers — for the purposes of assessing your suitability, arranging placement and providing related services.Acknowledgements. By submitting this form you acknowledge and agree that: (a) submission does not create an offer of employment, sponsorship or placement, and UniMinistry does not guarantee any employment, visa or registration outcome; (b) UniMinistry is not a labour hire agency — any employment offered is directly with the provider concerned; (c) UniMinistry does not provide migration advice — migration services are delivered by licensed professionals; (d) UniMinistry relies on the accuracy of the information and documents you provide, and you are responsible for any loss arising from information that is false, misleading or incomplete; (e) to the maximum extent permitted by law, UniMinistry is not liable for the decisions of employers, registration bodies or government authorities, which are outside its control; and (f) these acknowledgements operate together with UniMinistry's Candidate Terms and Conditions.Consent(Required) I consent to UniMinistry Foundation collecting and handling the information in this form, including any health information I choose to provide, as described in the collection notice above. Declaration(Required) I declare that the information and documents I have provided are true, accurate and complete, and I agree to the acknowledgements above and to UniMinistry's Candidate Terms and Conditions. Δ Share FacebookTwitterLinkedinEmail