FLMZ Registered Nurse Application
Complete this form with your details, qualifications, experience, and required documents for the Hill Wellness role (reporting to the Head Nurse).
Personal Details
Full Name
*
First Name
Last Name
Gender
*
Male
Female
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Physical Address / Town
*
Academic and Professional Requirements
Do you hold a Diploma or Degree as a Registered Nurse?
*
Yes
No
Which qualification do you hold?
*
Please Select
Diploma in Registered Nursing
Bachelor's Degree in Nursing
Other
Do you hold an active practicing licence with the General Nursing Council (Nursing and Midwifery Council of Zambia)?
*
Yes
No
Practicing licence number
*
Do you hold a current CPR and/or Advanced Life Support certification validated within the last 12 months?
*
Yes
No
Date of most recent CPR / ALS certification
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How many years of previous nursing experience do you have? (At least 2 years required)
*
Please Select
Less than 2 years
2 – 3 years
4 – 5 years
More than 5 years
Do you have experience or additional certifications in emergency, trauma or critical care? (An added advantage)
*
Yes
No
If Yes, please describe your emergency, trauma or critical care experience/certifications
*
Rate your competency in computer skills (MS Word, Excel, etc.)
*
Please Select
Basic
Intermediate
Advanced
Experience
Briefly describe your nursing experience, including where you have worked and your main responsibilities
*
Describe your experience working with children and/or in a school or community health setting
Faith and Mission Alignment
Are you a born-again Christian committed to Christian values and Family Legacy's mission?
*
Yes
No
To which denomination do you belong?
*
What is the name of the church you attend?
*
Briefly share your testimony and why you want to serve with Family Legacy Missions Zambia.
*
Documents and Declaration
CV/Resume
*
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Cover Letter
*
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Nursing qualification certificate(s)
*
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Current practicing licence
*
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CPR/ALS certificate
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Declaration
*
I confirm that the information provided is true and complete, that I have read and understood the job description, and that I consent to background and reference checks in line with FLMZ's Child Safeguarding Policy.
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