EMPLOYMENT APPLICATION
Disability, Aged Care, Veteran Support Worker

Employee Details

First Name: *

Surname: *

Date of Birth: *

Mobile Phone No.: *

Email Address: *

Do you identify as Aboriginal/Torres Strait Islander?

YESNO

Residential Suburb: *

State: *

Postcode *

Do you require a Visa to work in Australia?

YESNO

Please provide a copy of your Visa

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Arrival Date

Type

Cover Letter & Resume

File Upload (Please upload copy of current Cover Letter & Resume) *

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Please submit your current resume and cover letter as a single uploaded file.

Current and Previous Employment Details

Do you need to give notice to current employer? *

YESNO

Comments

Do you have any upcoming commitments/pre-booked holidays? *

YESNO

Comments

Do you have a 2nd Employer / Job? *

YESNO

Comments

Are you registered with any recruitment agencies? *

YESNO

Referees / Reference Nominees

** WORK references ONLY (not family members or friends)

Please supply MINIMUM OF TWO names and companies who could speak on your behalf

Referee #1

Company *

Person to contact *

Title *

Business Phone No. *

Referee Email address: *

How long have you known Referee #1? *

Referee #2

Company

Person to contact

Title

Business Phone No.

Referee Email: *

How long have you known Referee #2?

Qualifications and Certifications

Essential Criteria

Please use the file upload function to upload the following relevant documents where applicable:

Blue Card

Please upload copy of Blue Card

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National Police Check

Please upload copy of National Police Check

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NDIS Workers Clearance (YELLOW CARD) *

Please upload copy of NDIS Workers Clearance (YELLOW CARD) *

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First Aid & CPR

First Aid Certificate

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Perform CPR Certificate

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Drivers License

Please upload copy of valid Drivers License *

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Comprehensive Vehicle Insurance

Please upload Comprehensive Vehicle Insurance Certificate

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Qualifications

Please detail your qualifications or relevant life experience:

Please upload copies of certifications (if applicable):

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Please upload relevant copies of certifications as a single uploaded file.

Availabilities

Please provide your current availabilities:Please provide details regarding your current availability and preferred working hours. While Helping Hands Support Work endeavors to accommodate staff availabilities, it's important to note that adherence to these preferences cannot always be guaranteed due to operational requirements.

Health and Safety / Medical Questionnarie

**Please be advised that any information collected regarding your medical information and history is strictly confidential and will be treated and stored with the utmost care**

Do you currently suffer from any illness or injury (including vision or hearing impairment, Diabetes etc.) that may limit you in your capacity to provide support to participants including personal cares, manual handling, lifting or any other related tasks involved in the general scope of Support Work? *

YESNO

Details

Are you allergic to anything including medications?

YESNO

Details

Have you been away from work because of illness or injury in the last 2 years?

YESNO

Details

Do you suffer from any mental health diagnosis?

YESNO

Details

Do you have any concerns undergoing Drug and Alcohol testing?

YESNO

Privacy and Personal Information Consent

I,Please complete the following consent statement

consent to the collection of necessary personal information, including age, gender, medical history / reports, address details, and the disclosure of information to third parties, medical practitioners and psychological service providers.

I agree to undertake all medical tests and examinations as required to ensure my capability to perform the tasks required of the position for which I have applied.

I hereby declare that the information I have provided in this form is true and accurate and I authorise the company to verify any information if required. Any false or misleading information may result in the termination of my position / application.

I have read and understood my rights in respect of access to and collection of my personal information.

Signed

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