APNA Cultiv-8 Nurse Clinic Program EOI September

Expression of Interest Application: APNA Cultiv-8 Nurse Clinics Program

APNA’s Cultiv-8 Nurse Clinics program, delivered in partnership with Gold Coast Primary Health Network (GCPHN), is an 8-week hybrid learning program with weekly themes designed to support the introduction of the nurse clinic concept, enabling nurses to use their full scope of practice.

Gold Coast Primary Health Network (GCPHN) is seeking expressions of interest (EOI) from general practice teams to participate in APNA's Cultiv-8 Nurse Clinics Program in 2027.

Program dates: To be confirmed commencing in 2027
Program format: 8-week hybrid learning program.
Program time commitment: 1 hour per week + 2x 3-hour in-person workshops
Available positions: Limited fully funded places.
For more information, please contact: practicesupport@gcphn.com.au

To express interest, please complete the form below.

Please ensure you have reviewed and understand the following webpage and guide below before completing the EOI form:

Cultiv-8 Webpage

Cultiv-8 EOI Guide

Practice Details

Name of general practice *

Phone Number *

Preferred Nurse Clinic Topic and Rationale *

Lead Nurse Details

Second Representative Details

The lead nurse is the person responsible for leading the Cultiv-8 Nurse Clinics program

The second representative is a support for the lead nurse for the Cultiv-8 Nurse Clinics program

Nurse Full Name *

Second Representative Full Name *

Nurse Email Adress *

Second Representative Email *

Nurse Phone Number *

Second Representative Phone Number *

Declaration

By submitting this form, I hereby agree:

I have read the GCPHN EOI webpage and my practice is eligible.
I declare that all information provided in this application is true and correct.
I acknowledge and accept that information provided in this application will be stored by GCPHN in various formats including hard copy and/or electronic storage.
I acknowledge, understand and accept that this application does not create a legal or binding committment, arrangement or understanding between GCPHN and the applicant organisation.
I consent to GCPHN using my personal information in line with our Privacy Policy
I agree & consent to:
- Sharing personal information (name, email and/or phone number)provided on this form with APNA as the training provider for the Cultiv-8 Nurse Clinics program

*

Signature *

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Full Name *

Date *