Nurse Practitioner Transition Programme

Before you begin

Please download the Programme Information here before completing your application.

If you have any questions about this programme, please contact Dr Sue Adams (Tāngata Tīriti) or Josephine Davis (Tāngata Whēnua).

About this form

This application is for newly registered Nurse Practitioners, to support their first year of Practice.
Applicants must meet one of the following criteria to be eligible to apply for this funding:

Identify as Māori or Pacific
Employed in Primary Health Care
Employed in a rural area
Employed by a Māori or Pacific health provider
Employed in Community-based Mental Health and Addictions
Employed in community-based roles with an older person focus/ARC

Applicants may be graduates of any tertiary institute of Aotearoa New Zealand.

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Section A: Your Information

Surname

Mobile phone

Email address

First name

Student ID number

Area of Practice

Primary health care Public health Aged residential care Mental health and addiction Māori health Pacific health Other

Are you employed in a rural practice?

Yes No

NCNZ Registration Number

Indemnity Insurance Provider

CNA (NZ) NZNO Other

Tertiary Institute where you completed your Nurse Practitioner studies

University of Auckland University of Otago Victoria University of Wellington Massey University Eastern Institute of Technology (EIT) Auckland Univeristy of Technology (AUT) Ara Wintec University of Waikato

Section B: Upload supporting documentation

EOI Template . Size: 156.4 kB. Type: DOCX.

Document Description: Please download and complete the EOI, and then upload the completed document.

Download this DOCX file. Size: 156.4 kB.

Expression of Interest (EOI)

Upload File

Curriculum vitae (CV)

Upload File

Section C: Referee information

Please upload the details of two referees. One should be your Academic Mentor from your tertiary institute, the other should be a senior Health Professional (e.g. Nurse Practitioner, nurse leader, senior general practitioner).

Name of Referee

Position

Mobile number

Name of Referee

Position

Mobile number

Section D: Submit your form

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.