PERSONAL DETAILS
Full Name
Date of Birth
Email
Phone Number
Street Address
Suburb
Post Code
EMERGENCY CONTACT DETAILS
Full Name
Email
Phone
Relationship
Street Address
Suburb
Post Code
How Did You Hear About Us
How did you hear about us?
Your previous experience
HEALTH & WELLBEING
Do you have any allergies?
Do you have osteoporosis?
Do you have an existing physical, medical or psychiatric condition that we may need to take into consideration when scheduling your work?
Do you, or have you ever had a back/neck injury or pain?
Do you, or have you ever had any other injuries or disabilities that we should take into consideration when scheduling you for work?
EMPLOYMENT HISTORY (RELEVENT TO THIS ROLE)
Company or Employer Name
Position Held
From
To
Reasons for leaving
DIVERSITY & INCLUSION
Gender
Male
Female
Prefer Not To Say
Do you identify as Aboriginal and / or Torres Strait Islander?
Are you of a Culturally and / or Linguistically Diverse (CALD) background?
Is English the main language you speak at home?
What other languages can you speak?
Do you identify as Lesbian, Gay, Bi-Sexual, Transgender, Intersex and / or Queer?
PLEASE LIST 3 REFERENCES (2 MUST BE YOUR PAST EMPLOYERS OR PROFESSIONAL REFERENCES)
Name of Referee
Contact No
Email
Name of Organisation
Name of Referee
Contact No
Email
Name of Organisation
Name of Referee
Contact No
Email
Name of Organisation
CRIMINAL DECLARATION
Do you have any convictions, finding of guilt and/or pending police charges against you that are less than 10 years old?
Have you been subject to disciplinary proceedings for misconduct or terminated by an employer?
Have you EVER been convicted of theft, fraud, poor driving, drugs, drink driving, assault or aggression to another person?
Are you under Police investigation or have police charges pending for theft, drugs, fraud, poor driving, and drink driving or aggravated assault on another person?
YOUR AVAILABILITY IN A WEEK
Please Leave your prefered shift hours
WRITE N/A IF YOU ARE NOT AVAILABLE ON ANY DAY.
APPLICANT’S DECLARATION
DOCUMENTS YOU SHOULD NEED TO UPLOAD FOR STAFF APPLICATION
Resume, please upload here.
Car Insurance or CTP Insurance paperwork (we prefer fully comprehensive insurance), please upload here.
Driving License front, please upload here.
Driving License back, please upload here.
Passport copy (if you are a foreigner), please upload here.
Current Police Check (if you are foreigner and here in Australia in less than 10 years, please provide international police check), please upload here.
First Aid Certificate, , please upload here.
Working with Children Card (If you have), please upload here.
Manual Handling Certificate (If you have), please upload here.
Food Handling Certificate (If you have), please upload here.
If you're a foreigner, please provide evidence of working or visa, please upload here.
NDIS Worker Orientation Completion Certificate, please upload here.
Diploma of Nursing Certificate 4 in Aged Care (If you have), please upload here.
Certificate 4 in Disability or Individual Support (If you have), please upload here.
Certificate 3 in Disability or Individual Support (If you have), please upload here.
Any other relevant qualifications (If you have), please upload here.
Seizure Management Certificate - Not compulsory, please upload here.
Medication Competency Certificate - Not compulsory, please upload here.
Copy of Training Certificates, Other Qualification Certificates (Covid-19 Infection Control by Department of Health), please upload here.
Any other certificate or qualification, please upload here.
SUBMIT
