NRS0827

NRS0827 Nursing & Midwifery Graduate Initiative

Phase 1: Graduate Nurse (General)

Job Title: Graduate Nurse (General) Grade Code: 2852

  • Applicants please ensure that you read Nursing & Midwifery Graduate AdditionalInformation before beginning this application form.
  • Read the application form carefully, filling out all sections with the information requested.
  • Review your application form to ensureyou have completed all sections. All fields must be completed. Incomplete fields / sections may result in your Application Form not being processed further.
  • Verify that you have attached ascanned copy of your Nursing & Midwifery Board of Ireland (NMBI) / Bord Altranais agus Cnáimhseachais na hÉireann Annual Retention Certificate (General Division of the Register). Applications received without a valid NMBI Annual Retention Certificate will be deemed ineligible.
  • Verify that you have attached a scanned copy of the photograph page of your passport. Applications received without a scanned copy of the photograph page of your passport will be deemed ineligible.

An Application for: NRS0827 Nursing & Midwifery Graduate Initiative (General) must contain:

  1. Fully completed Application Form
  2. Scanned copy of NMBI Annual Retention Certificate (General Division)
  3. Scanned copy of the photograph page of your passport

Closing date & time: Friday 18th January 2013 at 12.00 noon

Address: by email or by post to:National Recruitment Service, HSE, Aras Slainte Chluainin, Manorhamilton, Co. Leitrim

Personal Details

First Name:
Last Name/Surname:
Email Address:
(Mandatory)
Mobile Telephone Number:
You must include int’l access code
(Mandatory)
Postal Address

I am a European Economic Area (EEA) National* or a Swiss National*?

Please tick Yes or No

YES / NO

*A citizen/national of a European countrywho does not require a work permit to work in Ireland.

Applicants who answer No to this question must provide the documents listed on Page 8

of Nursing & Midwifery Graduate Additional CampaignInformation. Page 8provides more information

on EEA Nationals. Candidates who answer No to this question and who do not provide the relevant documentation will be deemed ineligible.

Eligibility Criteria

I possess a primary nursing qualification awarded in a member state of the European Union in 2012?

Please tick Yes or No

YES / NO

(Please note if you answered NO to the above you are not eligible to apply for thisgraduate initiative. If you graduated in a year other than 2012 you are not eligible to apply for this initiative)

I am registered on the General Division of the register maintained by Nursing & Midwifery Board of Ireland.

My NMBIPIN number is:
Please enter PIN in the box
  • You must provide your NMBIPIN or your application will be deemed ineligible.
  • Please ensure you include a scanned copy of your Nursing & Midwifery Board of Ireland Annual Retention Certificate when submitting your application form.
  • Applications received without a valid NMBI Annual Retention Certificate will be deemed ineligible
  • Phase 1 of the Nursing & Midwifery Graduate Initiative is open to nurses on the General Division of the register

A:Please tick the College/University in the Republic of Irelandfrom which you graduated in 2012 with a Bachelor of Sciencedegree in General Nursing.

B:If you attended a College/University outside of the Republic of Ireland but within the European Economic Area, please tick the country in which you were awarded a primary nursing qualification.

A / B
I graduated in 2012 in the Republic of Irelandfrom a college listed below: / I graduated in 2012 in a country other than the Republic of Ireland:
Colleges/Universities in the Republic of Ireland
Mark your college with an X / Country of Qualification
Mark the country with an x
DublinCityUniversity / Austria / Liechtenstein
IT Athlone / Belgium / Lithuania
IT Dundalk / Bulgaria / Luxembourg
IT Galway/Mayo / Cyprus / Malta
IT Letterkenny / CzechRepublic / Norway
IT Tralee / Denmark / Poland
IT Waterford / Estonia / Portugal
NationalUniversity of IrelandGalway / Finland / Romania
St Angela's College Sligo (NUIG) / France / Slovakia
TrinityCollegeDublin / Germany / Slovenia
UniversityCollegeCork / Greece / Spain
UniversityCollegeDublin / Hungary / Sweden
University of Limerick / Iceland / Switzerland
Italy / The Netherlands
Latvia / United Kingdom
I graduated from a country other than those listed above:
Please provide country name in the space below:

Direct Entry Student:You started your nursing qualification directly after finishing secondary/high school

Mature Entry Student:You started your nursing qualification as a mature student*

Please indicate if you were a direct entry student or a mature entry student / Direct EntryGraduate / Mature EntryGraduate

Please tick appropriate box

*23 years of age or over at the time of application for your nursing qualification

Geographic Preference

  1. Please ensure that you read page 5 and Appendix 3 page 9Nursing & Midwifery Graduate AdditionalCampaign Information beforechoosing a geographic preference.
  2. The panels formed for the geographic areas below are those that the NRS will access to fill vacancies at a particular hospital or community service within that geographic area.
  3. We cannot predict if, when or where Graduate posts will occur at this stage of the process. Therefore you should make your choice based on where (geographically) you would most like to work.
  4. Changes to geographic choice will not be accepted after the closing date and time for receipt of applications i.e. Friday 18th January 2013 at 12 noon.

You may choose a single geographical area from the 16 choices listed below.

Geographic Area / Please mark your singlechoice with an X
1 / Carlow / Kilkenny / South Tipperary
2 / Cavan / Monaghan
3 / Cork
4 / Donegal
5 / DublinNorth & DublinNorthCity
6 / Dublin South Central
7 / Dublin South East / Wicklow
8 / Dublin South West / Kildare / West Wicklow
9 / Galway / Roscommon
10 / Kerry
11 / Louth / Meath
12 / Mayo
13 / Mid West
14 / Midlands
15 / Sligo / Leitrim / West Cavan
16 / Waterford / Wexford

Data Protection Release, Final Clinical Placement & Security Clearances

Section D – MedicalSchool confirmation of dates of completion and conferral of

Applicant & College Details:
First Name:
Last Name:
Name of College:
Name of Allocations Officer (College)

I,a 2012 graduate in General Nursing from the above named college, permit the HSE National Recruitment Service to seek and receive my centile ranking from the above college for the purposes of creating an order of merit for the Nursing & Midwifery Graduate Initiative.

Final Clinical Placement Details:
I completed my final pre graduation Internship in the following hospital(s)/site(s):
The duration of my final pre graduation Internship was 36 weeks / Yes / No / If you answered no, please provide length of final pre graduation Internship in weeks
The name(s) of my final intern Clinical Placement Co-Ordinator(s) (CPC) was / is:

All Graduates

The HSE National Recruitment Service will seek references from: the Clinical Placement Co-Ordinator , the Director of Nursing (or their nominee) at your final pre graduation Internship placement and from your College / University. By completing your application for this Graduate programmeyou are pre authorising our office to seekreferences.

Mature Student Graduatesonly

In addition to the above, the HSE National Recruitment Service will seek an additional two references, for which you must provide details on the next page of this application form.

Security Clearance Details:
Date of Birth
Last Name:

I authorise the HSE Garda Vetting Liaison Office to access Security Clearance (national and international) previously obtained for my pre graduation Student Nurse Placements.

Residency
I live in the Republic of Ireland or Northern Ireland. I have not left for a period of 6 months or longer since I attained 16 years of age. / I have not left for more than 6 mths / I have left for more than 6 mths

If you state that you have left for more than 6 months and resided elsewhere, it will be mandatory for you to provide us with a Police Clearance Certificate(s) from that county(ries) stating that you have no convictions recorded against you at a later stage in the process. More details available in Appendix 4 page 10.

Mature Student Graduates only – please provide 2 additional Previous Employer Referees
REF
1 / Name: / Email Address:
Job Title / Employer:
Mobile Tel No. / Landline Tel No.
REF
2 / Name: / Email Address:
Job Title / Employer:
Mobile Tel No. / Landline Tel No.

Application Check – All Applicants

You are required to submit by 12 noonFriday 18th January 2013

  1. A completed Application Form, please review your form to ensure you have completed all sections
  2. Ensure you have not made more than a single geographic choice
  3. Scanned copy of active NMBI Annual Retention Certificate (General Division)
  4. Scanned copy of the photograph page of your passport

Equality Monitoring Section

Candidates please note, this data is for administrative records only, and does not form part of the selection process, or any portion of the appointments process.

Candidate Name: / Date of Birth:
Nationality:
Male: / Female:

1

Nursing & Midwifery Graduate Initiative Application Form