Support Services Worker

First name

Last name

Phone

Mobile

Address Line 1

Suburb

State

Postcode

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Are you an Australian resident or eligible to work in Australia (and able to provide evidence)?

If you are on a Visa please advise what type and any associated working restrictions

Are you currently, or have you previously been, employed by Anglicare Southern Queensland?

Are you currently, or have you previously been, a volunteer at Anglicare Southern Queensland?

What is your notice period?

Do you have a current Current Driver LicenceYes
No

Are you confident in driving in the Region?

We value diversity – do you identify as an Aboriginal or Torres Strait Islander?Yes
No
Prefer not to answer

Do you have a current National Police Certificate?Yes
No

As this role is primarily cleaning - have you done any type of cleaning before?Yes
No

Please list what type of cleaning below

Please indicate which days you are available for between the hours of 7.30am - 5.30pm. Consistent & flexible availability is preferredMonday
Tuesday
Wednesday
Thursday
Friday

Do you have your own reliable vehicle?Yes
No

How did you hear about us?

Would you like to share any information including a DES provider

Do you have an active Aged Care Banning Order against you?Yes
No

Do you have the legal right to work in Australia? Please list any work restrictions

A Criminal History Check - National Police Check (NPC) - under 3 years old

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I accept the Terms & Conditions

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Please note it is an offence under legislation for a disqualified person to sign a blue card application.

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