Deputy Presidents EOI form

Which Council are you applying/reapplying for?

Which member type are you applying/reapplying for?

Practitioner

Practitioner – registered nurse

Practitioner – enrolled nurse

Practitioner – nurse or midwife engaged in the tertiary or pre-enrolment education of nurses or midwives in NSW

Practitioner – dentist

Member roles

What enrolled nurse role are you

Types mock up

Dentist type waiting for types

Contact information

Please provide your personal details below

Title

First name

Middle name

Last name

Post-nominals

Address

Address 2

City/town

State

Post code

Country

Preferred pronouns

Date of birth

Please enter your birth date in the following order Day, Month, Year.

Example: 04/06/2015

Email address

Mobile

Home phone

Do you identify as

A person with a disability

Yes

Prefer not to say

Aboriginal and Torres Strait Islander?

Yes

Prefer not to say

A person from a non-English speaking (CALD) background

Yes

Prefer not to say

What is your ancestry? English, Italian, Chinese, etc

Are you a public sector employee?

Yes

Does your employer support your nomination?

Yes

N/A

Are you on the Lobbyist Register?

Yes

Professional qualifications

1. Are you currently in a health profession in Australia or overseas?

Yes

2. Do you currently hold registration for any other health profession in Australia?

Yes

3. Have you ever held registration in a health profession in Australia or overseas?

Austialia

Overseas

N/a

4. Have you been admitted to the legal profession

Yes

5. Are you currently on the Supreme Court roll

Yes

Abridged CV

If your application is successful, the details entered here will be provided to the Minister for Health as an Abridged Curriculum Vitae. Please do not write 'refer to CV'. 

Education, qualifications and accreditations

Please include in the following order: [year graduated], [qualification title], [name of school/institution]

Please also note awards or prizes (e.g. Honours or University Medal)

Example:
2021, University of Sydney, Bachelor of Arts (Honours)

Employment history

Please enter in the following order: [month, year], [job title], [organisation]

Example:
June 2023, Research officer, Macquarie University
October 2008, Project officer, Sydney Projects

Awards, significant achievements and/or publications

N/A if not applicable

Awards, significant achievements and/or publications

Current and/or previous statutory appointments

N/A if not applicable

Current and/or previous statutory appointments

Please enter in the following order: [year start-year end], [Board name], [member type]

Example:
2021-2024, Medical Council of NSW, community member
2022-2025, Mental Health Review Tribunal, part time lawyer member

Professional memberships

Please enter in the following order: [institution name], [year if applicable]

Example:
Australian Institute of Company Directors, 2021
Member Royal Australasian College of Physicians

Details of two referees

Details of referee one

Provide details in this order:

Name:

Position:

Email address:

Phone number:

Details of referee two

Provide details in this order:

Name:

Position:

Email address:

Phone number:

Consent and privacy

Do you consent to the HPCA conducting these probity checks for the above purpose?

Shortlisted applicants will undergo probity checks to ensure that applicants are of good standing, which may include:

a national criminal history check

an Australian Securities and Investments Commission (ASIC) disqualification register check

a National Personal Insolvency Index check conducted through the Australian Financial Security Authority (AFSA)

a check of the HPCA’s records to ensure that practitioner member applicants are of good standing in the profession

Results of the probity checks are reported to the Minister for Health for the purpose of considering recommended nominees’ suitability for appointment.

Yes

Do you consent to the HPCA providing your contact details and CV to the NSW Health Professional Councils and HPCA support staff for consideration?

NSW Health Professional Councils attain the expertise of community and professional members to conduct Council work including interviews, audits, assessments and hearings.

If you consent, NSW Health Professional Councils and HPCA support staff may access your contact details and CV.

Yes

Privacy notice

The HPCA complies with NSW government privacy policies and relevant legislation. If you are shortlisted for recommendation to the minister for appointment to a NSW health professional council, your personal information will also be provided to the Ministry of Health, Corporate Governance and Risk Management Unit, for the purpose of seeking approval of your appointment. Your personal information will be recorded in the ‘GOView database’ which is managed by The Cabinet Office.

The Ministry’s privacy notice is available here:

Privacy notice pdf

Have you read the Ministry of Health privacy notice?

I confirm that I have read and understood the Ministry of Health privacy notice

Selection criteria

Please address each of the following selection criteria (max 500 words per selection criteria)

Selection criteria 1

High level of professional expertise as a registered practitioner in the relevant profession and division/registration type (where applicable). If you have experience or expertise in any of the following areas, please also address this in your application: tertiary education for the relevant profession, governance, ethics, research or involvement in working groups, advisory groups, committees etc. for the relevant profession

Selection criteria 2

The capacity to actively participate as a member of council in the regulation of registered health practitioners to protect the public including evidence of integrity, independence, impartiality, good judgement, and social awareness.

Selection criteria 3

High level of oral, written, and interpersonal communication skills including influencing and negotiating.

Selection criteria 4

Demonstrated experience or capacity to work collaboratively and productively as a member of Council.

Applying for deputy president?

Yes

Expression of interest

Checklist before you submit your application

Please submit your application before 5:00pm on 12 November 2026.

Expression of interest form

Up-to-date curriculum vitae (no more than five pages)

Deputy Presidents EOI form

Which Council are you applying/reapplying for?

Which member type are you applying/reapplying for?

Member roles

Contact information

Do you identify as

Professional qualifications

Abridged CV

Education, qualifications and accreditations

Employment history

Awards, significant achievements and/or publications

Current and/or previous statutory appointments

Professional memberships

Details of two referees

Consent and privacy

Selection criteria

Expression of interest

Complaints

For health practitioners

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