Register for Critical Care Essentials for Nurses

This form is now archived.

Please CLICK HERE to apply for Critical Care Essentials for Nurses 2021.

First Name

Last Name

Email

We recommend you to use your personal email address.
Our emails might be blocked or filtered by your hospital / company email server.

Gender

Contact Number

Suburb

State

AHPRA Number

Months and years as a registered nures

Name of Employer

Area of Nursing

Critical Care Unit (Intensive care, Critical care, High dependency)	Emergency Department
Inpatient unit	Outpatient unit
Hospital in the Home	Other

Please confirm if you are happy to receive emails, invitation to events and updates from us

Yes

No

In order to enrol you must agree to the following

I acknowledge that I may liable for the full cost of the program in the event that I withdraw from the course or fail to complete the course within 12 weeks of enrolment.

I acknowledge that I may lose course access in the event I fail to complete the course within 12 weeks of enrolment

I have read and understood the https://medicine.unimelb.edu.au/about/mobile-learning-unit#about and I consent to my personal or health information being collected and processed as described, including being shared with the Federal, state and territory governments and agencies, including the Australian Health Practitioner Regulation Agency (AHPRA), as proof of activity and enrolment.

Contact Information