Application For Employment Form

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Application For Employment Form

We believe in equal opportunity an do not discriminate on the basis of age, race, sex, colour, religion, national origin, disability, or any other applicable status protected by state or local law. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

Please ensure that you have completed the Employment Application Form.
If you are successful with your application, the Recruitment Manager will be in contact with you over an email and whats app message to organize an interview.

Personal Details

First Name

Surname

Date of Birth

Email Address

Mobile Number

Street Address

Suburb

State

Post Code

Country

More about you

Do you have your own vehicle:

Is the vehicle comprehensively insured?:

Can you drive with no restrictions?

If No, please describe

Do you have a superannuation account with a registered super company?

Superannuation Fund Name

USI Number

Employee Number

Address

Phone No

TFN Number

Are you comfortable in driving? As sometimes you need to travel for 10 KM or 20 KM or 30 KM or sometime more as our clients are located in different areas. We will reimburse the number of Kilometers you traveled from client to client.

Emergency Contact Details

First Name

Last Name

Relationship

Email Address

Mobile Number

Street Address

Suburb

State

Post Code

How did you hear about us?

Your previous experience

Have you previously worked as a Support Worker, Nurse or Cleaner?

Please tell us a little more about your experience as a Support Worker, Nurse or Cleaner.

Health & Wellbeing

Do you smoke?

If yes do you smoke in a car?

Do you have any allergies?

Please describe in details

Do you have osteoporosis?

Please describe in details

Do you have an existing physical, medical or psychiatric condition that we may need to take into consideration when scheduling your work?

Please describe in details

Do you, or have you ever had a back/neck injury or pain?

Please describe in details

Do you have a bad shoulder injury, leg, knee, hip or bulging spinal discs?

Please describe in details

Do you, or have you ever had any other injuries or disabilities that we should take into consideration when scheduling you for work?

Please describe in details

Employment History (Relevent to this role)

Company or Employer Name

Position Held

From

Reasons for leaving

Diversity & Inclusion

Gender

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)

Reference 1

Name of Referee

Contact No

Name of Organisation

Reference 2

Name of Referee

Contact No

Name of Organisation

Reference 3

Name of Referee

Contact No

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?

Please describe in details

Have you been subject to disciplinary proceedings for misconduct or terminated by an employer?

Please describe in details

Have you EVER been convicted of theft, fraud, poor driving, drugs, drink driving, assault or aggression to another person?

Please describe in details

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?

Please describe in details

Your Availability in a week

Day

Monday

Start Time

End Time

Day

Tuesday

Start Time

End Time

Day

Wednesday

Start Time

End Time

Day

Thursday

Start Time

End Time

Day

Friday

Start Time

End Time

Day

Saturday

Start Time

End Time

Day

Sunday

Start Time

End Time

Write N/A if you are not available on any day.

Overall, how many hours per week are you IDEALLY wanting to work?

Applicant's Declaration

I declare that all statements which I have made on this Application for Employment are correct to the best of my knowledge and belief, and understand that any misstatement of material facts may affect the success of this or any future employment application with the company. I further understand that failure to provide information or falsely stating any information may result in termination of employment. I further understand and accept that my roster (if applicable) may be changed at any time with due regard to relevant awards and/or enterprise agreement conditions. I also accept that I may be required to undertake a pre-employment medical examination by a Company-appointed GP prior to commencing employment. This pre-employment medical will be based around the inherent requirements of the position/s applied for, and any information will be made available to the Company prior to any offer of employment. I also confirm that I am able to maintain the required standards of fitness, safety, courtesy and neatness at all times and observe all rules and policies of the Company including due care and responsibility of Company property, equipment and monies. I agree to actively participate in random drug and alcohol testing as required. I authorize the hiring company to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

Full Name of the Applicant:

Documents you should need to upload for Staff Application

Note: Please ensure the following documents are uploaded to the application portal

Do you have NDIS Workers Screening Check?

If yes, please upload the file

Application For Employment Form

Personal Details

More about you

Emergency Contact Details

How did you hear about us?

Your previous experience

Health & Wellbeing

Employment History (Relevent to this role)

Diversity & Inclusion

Please list 3 references (2 Must be your past employers or professional references)

Criminal Declaration

Your Availability in a week

Applicant's Declaration

Documents you should need to upload for Staff Application

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About Us

Our Services

Our Services

Address

Email Address

Phone Number