Graduate Diploma of Midwifery essential requirements

• Full-time
• Part-time

Placement details

Placement type *

Please select the relevant option.

• Employment: Letter attached from employer confirming my position as a student midwife.
• Supernumerary: Letter attached from the hospital confirming I have clinical placement.
• Supernumerary: I require clinical placement allocated by Federation University.
• Midwife upgrading qualification.

Please complete the appropriate checklist below

I am a registered nurse, and I have/will include/d the following documents with my application *

Each component must be supplied before your application will be assessed. If this checklist is not relevant to you please select N/A and complete the next checklist

• Copies of my Bachelor of Nursing and academic transcripts or equivalent
• Proof of my current AHPRA nursing registration
• Curriculum Vitae (CV) with evidence of at least 12 months recent acute care experience
• Completed and signed immunisation status form as per health vic guidelines*
• Working with Children Check (WWCC)
• Letter of employment (if applicable)
• N/A

• Copies of my midwifery certificate and academic transcripts, or equivalent
• Proof of current AHPRA midwifery registration
• Curriculum Vitae (CV) with evidence of current employment status as a midwife
• N/A

*Refer to Immunisation status form and Health Vic Guidelines

Clinical referee details

Include the names and contact details of two nominated clinical referees, one referee must be your current or most recent manager. Please ensure contact details are correct and current.

Referee 1: Current or most recent manager

Full name *
Employer *
Contact details *

Referee 2

Full name *
Employer *
Contact details *

Privacy statement

The information being sought in this form is collected for the purpose of processing your application, and, if your application is successful, delivering a program of study to you.

The information gathered in this form, and in any subsequent selection interviews or referee checks, will be used by the University to determine your eligibility and suitability for admission into the program. The information may be disclosed to organisations outside the University, including the Education Department, nominated referees etc, in line with the information provided in this form. If this information is not provided, the University may be unable to process your application. You have a right of access to, and correction of, your personal information in accordance with the University’s information Privacy Policy. You may also contact the University’s Privacy Officer at privacy@federation.edu.au

Applicant declaration

You must agree to all statements to complete your application *

• I confirm that the information I have provided is true and accurate.
• I have read the University's statement on privacy and the purposes for which my personal information will be used
• I acknowledge that the provision of incorrect information may result in the withdrawal by Federation University Australia of any place that may be offered