Job Application Form
Application Date
Job Position
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Support worker
Email
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Personal details
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Emergency contact name
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Emergency contact number
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Qualification and Other Details
Have you completed a qualification in disability?
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Select
I don't have a qualification in disability
I have a qualification in disability which isn't listed
Yes, Advanced Diploma
Yes, Bachelor Degree
Yes, Bachelor Degree (Honours)
Yes, Certificate III
Yes, Certificate IV
Yes, Diploma
Yes, Doctoral Degree
Yes, Graduate Certificate
Yes, Masters Degree
Do you have prior experience as a disability support worker?
Yes
No
Do you have a current Police Check (National Police Certificate) for employment?
Yes
No
Do you have a current Working With Children (WWC) Check?
Yes
No
Do you have a current NDIS Worker Screening Check?
Yes
No
Which of the following First Aid accreditations do you currently hold?
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Anaphylaxis Management
Asthma Management
Epilepsy Management
Manual handling
Medication Administration
None of these
Provide CPR
Provide First Aid
Do you have a current Australian driver's licence? (Minimum P2 licence required)
Yes
No
Do you own or have regular access to a car?
Yes
No
Which of the following statements best describes your Covid-19 vaccination status?
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I have a medical exemption
I haven't been vaccinated
I'd prefer not to say
I'm fully vaccinated (with Booster dose)
I'm fully vaccinated (without Booster dose)
I'm partially vaccinated
I'm planning to be vaccinated as soon as possible
Which of the following statements best describes your right to work in Australia?
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I have a family/partner visa with no restrictions
I have a graduate temporary work visa
I have a holiday temporary work visa
I have a temporary protection or safe haven enterprise work visa
I have a temporary visa with no restrictions (e.g. doctoral student)
I have a temporary visa with restrictions on industry (e.g. temporary activity visa 408)
I have a temporary visa with restrictions on work hours (e.g. student visa, retirement visa)
I have a temporary visa with restrictions on work location (e.g. skilled regional visa 489)
I require sponsorship to work for a new employer (e.g. 482, 457)
I'm a permanent resident and/or NZ citizen
I'm an Australian citizen
How many hours are you available to work per week?
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21 - 25
26 - 30
31 - 35
36 - 40
41 - 45
46 - 50
50+
When can you join the team?
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10 to 15 days
15 to 30 days
30 to 45 days
45 to 60 days
60 days or more
7 to 10 days
within 7 days
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