If you would like to apply for a vacancy or register your interest in future vacancies at Southern Health, you must be registered. Please complete the following form to register your details. Your Details will not be shared with any third party.
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* Indicates a mandatory question.
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| Title: |
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Given Names:
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*
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Surname:
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*
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| Phone Number (Preferred): |
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Are you a current Southern Health Employee?:
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If Yes, what is your employee number?:
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E-mail Address:
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Confirm E-mail Address:
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*
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New Password:
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* (6-12 Characters)
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Re-confirm Password:
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*
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| Your Mothers Maiden Name:
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* (used to retrieve forgotten password)
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Would you like to receive automatic e-mail updates regarding new vacancies?:
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If Yes, please select up to 4 job categories below:
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| Job Category 1: |
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Job Category 2:
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| Job Category 3: |
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| Job Category 4: |
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Are you Aboriginal or Torres Strait Islander?:
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