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 YesNo 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)
