Home Care Worker

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Last name

Phone

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Suburb

State

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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 Driver Licence?Yes
No
Transferring a Interstate/Overseas Licence

Do you have your own, reliable vehicle?Yes
No

Please advise any restrictions on your Licence ie., Medical, hours of use

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
No, but I am eligible to apply

Do you have a current First Aid and CPR certificateYes
No
Enrolled

Do you have a Certificate III in Individual Support, Aged Care, Home & Community Care, Disability Services or similar field?Yes
No

How many Hours are you available to work per week?

Where did you hear about this opportunity?

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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