SHH Vaccination Project - Nurses Work Interest
This form is an indication of one's interest in the "SHH Vaccination Project" and is not any form of employment contract. We are happy to support Singapore's SGUnited Spirit.

By submitting this form, individuals consent to disclose their personal particulars and that all given information is true and accurate. All information submitted will be kept private and confidential.

Should one have further enquiries, one may contact our Service Number at 9728 8393.
Full Name *
Mobile Number *
Email Address *
Referred By *
Age *
Area of Residence *
Position Applying For *
1) Are you currently working at other Vaccination Centres? If yes, kindly state the location. *
2) Are you competent to perform injections? If yes, when did you last perform it? *
3) Have you done vaccine dilution before? *
4) When was your last Code Blue encounter? *
5) Are you currently holding an SNB card? If yes, kindly provide the date of expiry. *
6) When is your BCLS expiry date? *
7) Which hospital or medical institution are you currently with? *
8) How many years of working experience do you have as a nurse? *
9) How many days a week are you able to commit for the next 3 months? *
10) What is your preferred shift timing? *
11) Have you been vaccinated?
Clear selection
Thank you for your submission!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy