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During your first year of practice, you will participate in the Counties Manukau Health (CM Health) Nurse Entry to Practice (NETP) programme. The NETP programme is partly funded by Health Workforce New Zealand (HWNZ) which is part of the Ministry of Health. It is a requirement of HWNZ that CM Health collects the following data, including your result of any postgraduate requirements of the NETP Programme, and will only release it to HWNZ for reporting and auditing purposes and to meet the requirements of the Privacy Act (1993).
This form must be completed by 20/01/2020
IMPORTANT: This form is best viewed in Firefox.
IMPORTANT: You must complete this form in one sitting.
You cannot save the form and return to it. If you would like to outline your answers you can download a copy of this form.
Note: Annual Practising Certificate (APC).
Note: First name as it appears on your APC.
Note: CMDHB employees, type Counties Manukau DHB. Non-CMDHB employees, type your Employer’s name. Do not use abbreviations
Note: Leave spaces between multiple entries. Do not use brackets or commas.
Note: If unsure, choose the blank option.
NETP Post Graduate Education Provider Note: AUT = Paediatric work areas. UoA = Adult work areas including PHC/ARC.
Note: Technical Institute where you did your undergraduate nursing training.
Note: Name of ward, unit, etc.
Do you agree to the following terms?
Last modified: 22 January 2020