Nurse Practitioner Training Programme (NPTP)

Applications for the 2022 NPTP intake have now closed.

Application Form

Employer Declaration of Support Template. Size: 129.7 kB. Type: DOCX.

Download this DOCX file. Size: 129.7 kB.

Form Unavailable

This form is currently unavailable, please come back later.

University to which you are applying for NP Training Programme funding

University of Auckland University of Otago Victoria University of Wellington

Clinical Supervisor who has agreed to supervise you through your NPTP:

Name of Supervisor

MCNZ or NPNZ Provider Number

Position

Mobile phone

Referee
Contact details of a senior health professional (eg NP, nurse leader, senior general practitioner) who we can contact as a referee for your readiness to complete the NPTP:

Name of Referee

Position

Mobile phone

Attachments

Academic transcript(s) for relevant postgraduate study

Upload File

Letter of application

Upload File

Curriculum vitae (CV)

Upload File

Case Study- (max 600 words) demonstrating a systematic approach to a typical patient encounter

Upload File

Employer's signed declaration of support on letterhead

Upload File

By submitting this form, I declare that all information enclosed and attached to my application form is true and correct and that no relevant information has been withheld.