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NATSIHWA  2012 National Health Worker Award nominations

5.YOUR DETAILS

We're updating our details in our databases and for the November forum & the 'National Aboriginal & Torres Strait Islander Health Worker Awards' ....so we can better support support you. Please let us know the following....
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1.Please provide NATSIHWA with your updated details (this will be kept confidential)(Required.)
2.I'm currently working in:
3.Are you male or female?
4.Are you currently or previously a member of NATSIHWA, NT or nationally registered and/or WAAHWA(Required.)
5.If your not a NATSIHWA member (or not sure), would you like information on becoming a member?
6.The best way to contact me is....
7.The qualifications/certificates I hold are:(Required.)
Cert II
Cert III
Cert IV
Diploma
Adv Diploma
Bachelor degree
Masters degree
Aborignal and/or Torres Strait Islander Primary Health Care (Clinical/Practice)
Aborignal and/or Torres Strait Islander Primary Health Care (Community)
Aborignal and/or Torres Strait Islander Primary Health Care (other)
Other primary care qualification (not specifically Aboriginal or Torres Strait Islander)
Drug & Alcohol (specific qualification)
Mental health and wellbeing (specific qualification)
Sexual health
Aged care, disability and/or home care
Nursing
Medicine
Other Allied Health
Management
Non-health
No qualification (any but no ticks in boxes above or below)
Other
None of the above (click any box)
8.I'm thinking of, or would be interested in, upgrading to the following quaifications in the next 1 - 3 years...(Required.)
Cert II
Cert III
Cert IV
Diploma
Adv Diploma
Bachelor degree
Masters degree
Aborignal and/or Torres Strait Islander Primary Health Care (Clinical/Practice)
Aborignal and/or Torres Strait Islander Primary Health Care (Community)
Aborignal and/or Torres Strait Islander Primary Health Care (other)
Other primary care qualification (not specifically Aboriginal or Torres Strait Islander)
Drug & Alcohol (specific qualification)
Mental health and wellbeing (specific qualification)
Sexual health
Aged care, disability and/or home care
Nursing
Medicine
Other Allied Health
Management
Non-health
No qualification (any but no ticks in boxes above or below)
Other
Not thinkning of upgrading (tick any box)
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