Application for Employment

Please indicate what type of work you are interested in:*

Full-time
Part-Time
Casual
Work Experience
Volunteer

Please indicate the area in which you would like to work:

Privacy Safeguards

You are assured the information you provide will be treated with confidentially and that your privacy will be respected. Please complete the remainder of this application to the best of your knowledge.

Personal Information

Name*

First Last

Residential Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Postal Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone Number*

Mobile Number

Email Address*

Date of Birth*

Day

Month

Year

Tax File Number

Do you identify as:

Aboriginal
Torres Strait Islander

Unique Student Identifier

Licences

Do you hold a current Drivers Licence?

Yes
No

Drivers Licence No.

Drivers Licence Class

Expiry Date

Day

Month

Year

Disability

Do you have a disability?

Yes
No

If YES what type?

Are you Australian Citizen?

Yes
No

Do you receive a Disability Support Pension?

Yes
No

Centrelink CRN No.

NDIS No.

NDIS Review Date

Day

Month

Year

Employment History

Employer 1 - Name

Employer 1 - Start Date

Day

Month

Year

Employer 1 - Finish Date

Day

Month

Year

Employer 1 - Reason for Leaving

Employer 2 - Employer Name

Employer 2 - Start Date

Day

Month

Year

Employer 2 - Finish Date

Day

Month

Year

Employer 2 - Reason for Leaving

Do you object to us contacting your previous employer/s?

Yes
No

During the last 5 years, have you been subject of formal performance management and/or disciplinary proceedings?

Yes
No

If YES please give a brief description

Do you have an illness, injury, chronic condition, psychological/emotional condition, or requirement for regular medication that may impact on your capacity to carry out the full requirements of the position?

Yes
No

If YES please give a brief description

Background Check

Do you hold a Working with Children Check

Working with Children Check is required to complete this application

Yes

WWC Number for Verification

Have you ever been convicted of any criminal offence?

Yes
No

If yes, please give a brief description

Declaration and Agreement

I understand that any false or misleading information deliberately provided in this application can render my employment, if I am appointed, liable to termination.

I declare that all of the information provided by me in this application is true and correct*

Yes

Signature of Applicant*

Document Check

Listed below are the documents required to complete this application:

Current Resume including two reference check contacts
Qualification Certificate and/or Australian Government Unique Student Identifier Transcript
Evidence of Other Training (if applicable)
NDIS Workers Check
Working with Children Check number
NDIS Worker Orientation Module

Current Resume*

Including two reference check contacts

Max. file size: 8 MB.

Qualification Certificate

Max. file size: 8 MB.

Australian Government Unique Student Identifier Transcript

Max. file size: 8 MB.

Evidence of Other Training

If applicable

Max. file size: 8 MB.

NDIS Workers Check

Max. file size: 8 MB.

NDIS Worker Orientation Module

Max. file size: 8 MB.

Are You Covid - 19 Vaccinated*

Yes I am
Yes Single Dose, Second to come
No I am not

Phone

This field is for validation purposes and should be left unchanged.

Contact us

Come and join our team

Download the Application Form:

Fill out the Application Form Online:

Privacy Safeguards

Personal Information

Licences

Disability

Employment History

Background Check

Declaration and Agreement

Document Check