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PhysPath Australia Physiotherapist Candidate Intake Form
Section A - Personal Details
Full Name
*
Email
*
Phone/WhatsApp
*
Current Location
*
Nationality
*
LinkedIn Profile URL
*
Has CV/Resume been received?
*
A
Yes
B
No
Section B - Registration and Work Rights
AHPRA Registration Status
*
A
Full Registration
B
Limited Registration
C
In Progress
D
Other
AHPRA Number
*
Conditions on Registration
*
Current Visa Status
*
Work Rights in Australia
*
Do you require employer sponsorship?
*
A
Yes
B
No
Are you willing to relocate?
*
A
Yes
B
No
Do you have a driver's licence?
*
A
Yes
B
No
Do you own a vehicle?
*
A
Yes
B
No
Preferred/Available Locations
*
Open to Working In
*
Metro
Regional
Rural
Remote
Other
Section C - Professional Background
Years of Experience
*
Countries Worked In
*
Current/Most Recent Role
*
Main Settings Worked In
*
Private Practice
Aged Care
Community
NDIS
Hospital
Neuro
Sports
Other
Key Clinical Strengths and Conditions Commonly Treated
*
Section D - Clinical Preferences
Preferred Caseload and Specialties
*
Caseloads You Do NOT Want
*
Preferred Clinical Setting
*
Employment Type
*
A
Full-time
B
Part-time
C
Contractor
D
Casual
Preferred Hours/Days
*
Patients Per Day Comfortable With
*
Mobile/Community Work
*
A
Yes
B
No
Aged Care Roles
*
A
Yes
B
No
NDIS Roles
*
A
Yes
B
No
Rural Roles
*
A
Yes
B
No
Other Preferences
*
Section E - Workplace Fit
Preferred Work Environment
*
Structured
Flexible
Independent
Mentored
Fast-paced
Other
Team vs Solo Preference
*
Supervision Required
*
Ideal Manager Style
*
Communication Style With Patients
*
Strengths You Bring to a Team
*
Areas You Are Working to Improve
*
Section F - Logistics and Readiness
Start Date
*
Notice Period
*
Police Check
*
A
Yes
B
No
CPR/First Aid
*
A
Yes
B
No
NDIS/WWVP Check
*
A
Yes
B
No
Professional Indemnity Insurance
*
A
Yes
B
No
References Available
*
A
Yes
B
No
Additional Requirements or Support Needed
*
Section G - Motivation and Intent
Why Australia
*
Why This Type of Role
*
Long-Term Professional Goals
*
Primarily Looking For
*
A
First Australian Role
B
Better/Next Role
C
Employer Sponsorship
D
Rural/Regional Pathway
E
Other
Minimum Salary Expectation in AUD
*
Non-negotiables
*
Deal-breakers
*
Anything Else PhysPath Should Know
*
Confidentiality Statement: All information provided is strictly confidential and will not be shared without your prior approval.
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