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Employment

Support Worker Online Application Form

Name:
Preferred Name:
Phone Number (Home):
Mobile Number:
Your Email:
Your Address:
Age Range:
18-2930-3940-4950-5960+
(To assist if necessary with connecting people of a similar age to work alongside one another as per Employment Age Discrimination Exemption 21.2 of the Equal Opportunity Act 1984 [66ZQ])

Australian Resident
YesNo
Aboriginal / Torres Strait Islander
YesNo

Do you have any pre-existing medical conditions / injuries that would impact your ability to undertake the duties of your role?
YesNo

Available Start Date:

Variable Availability:

Monday Availability:

Tuesday Availability:

Wednesday Availability:

Thursday Availability:

FridayAvailability:

Saturday Availability:

Sunday Availability:

Previous Work Experience

Interests and Hobbies

How would your best friend describe you?

Details of Previous Experience

Permission to Share Details

Applied First Aid
YesNo

Police Certificate
YesNo

Drivers Licence
YesNo

Roadworthy Vehicle
YesNo

Vehicle Insurance
YesNo

Working With Children
YesNo

Upload Resume

(pdf or word only, 2mb max)