Are You Interested in Working with Us?

Date

Region

Service

Employee Details:

First Name *

Surname *

Date of Birth *

Gender *

Phone No

Email*

Application Requirement *	Yes	No
Have you previously worked in Disability or Aged Care?
Do you own or have regular access to a car?
Do you have a cument Disability Worker Screening (yellow card) clearance?
Do you have a current Working With Children (blue card) clearance?
Do you have a current drivers licence?
Do you have a current First Aid and CPR certificate?
Have you completed a qualification in disability/aged care?
Do you think you'd make an awesome worker?

Which of the following questions best describes your right to work in Australia? *

Visa Upload (Only allow file type of jpg , jpeg , png , doc , docx , pdf)

Resume / CV upload * (Only allow file type of doc , docx , pdf)

Work Available:

Your Work Availability *

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
AM
PM
Sleepover

Mandatory Requirements:

Please upload your documents below

Medical conditions/injuries *

NDIS Worker Screening Clearance * (Only allow file type of jpg , jpeg , png , doc , docx , pdf , xls , xlsx , png)

NDIS Worker Screening Card Expiry Date *

WWC Blue Card * (Only allow file type of jpg , jpeg , png , doc , docx , pdf , xls , xlsx)

WWC Blue Card Expiry Date *

CRR Certificate * (Only allow file type of jpg , jpeg , png , doc , docx , pdf , xls , xlsx)

CRR Certificate Expiry Date *

First Aid Certificate * (Only allow file type of pdf)

First Aid Certificate Expiry Date *

NDIS Worker Orientation Module * (Only allow file type of pdf)

Certificate III in Individual Support (or higher) * (Only allow file type of pdf)

Drivers Licence (front & back)" * (Only allow file type of jpg , jpeg , png , doc , docx , pdf , xls , xlsx)

Medicare Card

Not required for VISA holders for ID

(Only allow file type of jpeg , jpg)

Good to have:

Comprehensive Vehicle Insurance

Needed for community access work

(Only allow file type of jpeg , jpg)

Manual Handling Certificate

Please upload your manual handling certificate if you have completed it in the last 12 months

(Only allow file type of pdf)

Medication Assistance Certificate (Only allow file type of pdf)

COVID-Infection Control Certificate (Only allow file type of pdf)

COVID Vaccination (Only allow file type of jpeg , jpg)

Complex Needs:

Epilepsy Management (Only allow file type of jpeg , jpg)

Diabetes Training (Only allow file type of jpeg , jpg)

Bowel Care (Only allow file type of jpeg , jpg)

I hereby confirm that the information provided in this form is true.*