Join the ANZ-LCNF Steering Committee!

Submit your Expression of Interest

Are you passionate about patient care in lung cancer and want to bring your experience to a national level? Do you want to support and develop the lung cancer nursing profession?

We currently have a vacancy on the ANZ-LCNF Steering Committee for the position of ACT and QLD Representatives. Fill in the form below by 5pm (AEDT) Friday 26 February 2021 to confirm your Expression of Interest.

Question Title

* 1. What is your full name?

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* 2. What is your current position/s within thoracic oncology nursing?

Job title 1:

Employer 1:

Job title 2:

Employer 2:

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* 3. Please provide your best contact details

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 4. Please select your areas of experience and expertise

Registered Nurse

Enrolled Nurse

Lung Cancer Nurse Coordinator

Lung Cancer Nurse Specialist

Cancer Care Coordinator / Nurse

Chemo / Oncology (Competent) Nurse

Radiation Nurse

Support Group Facilitator / Peer Support

Survivorship Care

Nurse Practitioner

Nurse Researcher

Other (please specify)

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* 5. Please provide detail on your formal qualifications (complete additional rows as required)

Title:

Year of Completion:

Institution:

Title:

Year of Completion:

Institution:

Title:

Year of Completion:

Institution:

Title:

Year of Completion:

Institution:

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* 6. Do you have any training in progress?

Yes

if Yes, please provide details and expected completion date

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* 7. Please provide a recent work history (up to 5 years) relevant to thoracic oncology nursing

Job title 1:

Employer 1:

Job title 2:

Employer 2:

Job title 3:

Employer 3:

Job title 4:

Employer 4:

Job title 5:

Employer 5:

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* 8. Please provide your professional endorsements on employer / institution letterhead

Examples of professional endorsements include; Nurse Director, a Lead MDT Clinician at your hospital, Research Supervisor

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Question Title

* 9. Written response:
What motivates you to join the ANZ-LCNF Steering Committee?
What difference do you hope to make to thoracic oncology nursing?

1 page max, 10 point Century Gothic font

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Join the ANZ-LCNF Steering Committee!

Submit your Expression of Interest

Question Title

* 1. What is your full name?

Question Title

* 2. What is your current position/s within thoracic oncology nursing?

Question Title

* 3. Please provide your best contact details

Question Title

* 4. Please select your areas of experience and expertise

Question Title

* 5. Please provide detail on your formal qualifications (complete additional rows as required)

Question Title

* 6. Do you have any training in progress?

Question Title

* 7. Please provide a recent work history (up to 5 years) relevant to thoracic oncology nursing

Question Title

* 8. Please provide your professional endorsements on employer / institution letterhead

Question Title

* 9. Written response:What motivates you to join the ANZ-LCNF Steering Committee? What difference do you hope to make to thoracic oncology nursing?

Question Title

* 10. Is there anything else you would like us to know?

* 9. Written response:
What motivates you to join the ANZ-LCNF Steering Committee?
What difference do you hope to make to thoracic oncology nursing?