APPLICATION FOR EMPLOYMENT

Date

Do you identify as Aboriginal/Torres Strait Islander?

YESNO

First Name

Surname

Date of Birth

Place of birth

State/Country

Do you require a Visa to work in Australia?

YESNO

Email Address

Mobile

Home Ph

Home Address

Suburb

State

Postcode

DETAILS OF EMPLOYMENT

**Please provide details below ( at least the last three positions held )

Position #1

START DATE OF EMPLOYMENT

FINISH DATE OF EMPLOYMENT

COMPANY

POSITION HELD

REASON FOR LEAVING

REFEREES / REFERENCE NOMINEES

Are you willing for Dandelion House to conduct reference checks on your behalf?

YESNO

Referee #1 (Must be previous employment)

Company

Person to contact

Position Title: (Previous Manager)

Business Phone No.

How long have you known Referee #1?

Email

REQUIRED DOCUMENTS

Please list and attach any of the below documents that you already have or are willing to obtain.

Required Documents

Resume

Current NDIS Worker Screening Check

Or are willing to obtain

First Aid Certificate

Or are willing to obtain

Working with Children's Check

Or are willing to obtain

Drivers licence

Or are willing to obtain

Passport or Birth Certificate

Or are willing to obtain

Vehicle Registration

Or are willing to obtain

Comprehensive Insurance

Or are willing to obtain

NDIS Worker Orientation Module - https://training.ndiscommission.gov.au//course/index.php?categoryid=2

Or are willing to obtain

Infection Control Module https://www.sentrient.com.au/course/ipc.html

Or are willing to obtain

Membership / Registration Certificate

If you do not have any of the above documents, would you be willing to obtain them prior to employment?

YESNO

Qualifications

Have you obtained a Certificate IV or above in a related field to this role?

YESNO

Please list any other qualifications have obtained and if possible attached a copy of the certificate.

Please attach a copy of the certificate

Browse

Questions

Are you aware of any pre-existing injuries, illnesses or medical health conditions that could impact your ability to carry out the full range of duties of this role?

YESNO

Are you comfortable providing personal care to both males and females?

YESNO

Do you have a reliable vehicle that you would be willing to transport Clients in?

YESNO

Do you have any relations that are employed or support by Dandelion House?

YESNO

Availability

As our Placements operates 24/7, are you willing to work; day shifts (06:30 – 14:30), afternoon shifts (14:30 – 22:30+Sleepover), night shifts (22:30 – 06:30) , weekends and public holidays?

YESNO

Are you willing to work in both the Newcastle and Maitland area?

YESNO

Are you willing to complete sleepover shifts on a regular basis? (A sleepover shift is where the Staff member sleeps at the placement within a secure room for an 8hour period)

YESNO

How many hours would you ideally want to work per week?

Do you have any future holidays or leave scheduled?

YESNO

If successful, when would you be able to start?

Please indicate in the bellow table what your availability would be over a fortnightly period?

Week 1

Week 2

Monday