Name

The applicant is required to fill in all the information in this application form. The information you provide along with the personal interview will be used to make a decision on your suitability for the position.

Important note: This company is an EEO (Equal Employment Opportunity) employer and does not discriminate against any current or future employee. If you feel that at any stage this company or a representative of this company has discriminated against you, we encourage you to seek the appropriate legal advice.

Position applying for

How did you find out about this position?

Name *

Pronouns

DOB

Address

Street address

City

State

Postcode

Best contact number *

Email Address

Qualifications & Certifications

Relevant qualifications *eg. Cert 3 in Individual Support; Cert 3 in Disabilities; lived experience.

NDIS Worker Check Clearance *

Working with Children Check - Paid role *

Recent Police Check (within last 12 months) *

NDIS Worker Modules *- Worker Orientation Module: Quality, Safety and You – Covers the NDIS Code of Conduct and best practices for supporting people with disabilities. - NDIS Induction Modules – A set of eight modules for new workers, including privacy, incident management, and risk identification. - Supporting Effective Communication – Helps workers improve their communication skills with NDIS participants. - Supporting Safe and Enjoyable Meals – Focuses on meal preparation and safety for people with disabilities

Certificates

Browse

Certificates

Browse

Skills & Experience

Experience with personal care (eg, showering, toileting)

Experience with complex behaviors and mental health support

Any other skills you would like to add?

Certificates - If applicable

Browse

Certificates if applicable

Browse

Previous Employment Details

Have you held any previous roles in disability support or related fields *

Position

Employer

Period of employment

Contact person name

Contact Person Phone

Contact person number

Can we contact this person as part of our reference check process

Resume

Browse

Applicant Declaration

To the best of my knowledge, I believe that the above statements are true and correct. I understand that any deliberately false, misleading or incomplete statements may lead to my dismissal, if employed.

I give this company permission to conduct the relevant reference checks and obtain the required information from past employers and or other relevant parties. I understand that this will be done in an ethical and legal manner and will not compromise my current employment situation.