Application For Employment Form

We believe in equal opportunity and do not discriminate on the basis of age, race, sex, color, religion, national origin, disability, or any other applicable status protected by state or local law. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

Please ensure that you have completed the Employment Application Form.
If you are successful with your application, the Recruitment Manager will be in contact you over an email and WhatsApp message to organize an interview.

Step 1 of 13

Personal Details

Full Name(Required)

Phone(Required)

Email(Required)

Date of Birth(Required)

DD slash MM slash YYYY

Address(Required)

Street Address Suburb State Postcode Country

More about you

Do you have your own vehicle?(Required)

Is the vehicle comprehensively insured?(Required)

Can you drive with no restrictions?(Required)

Do you have a superannuation account with a registered super company?(Required)

Are you comfortable in driving? As sometimes you need to travel for 10 KM or 20 KM or 30 KM or sometime more as our clients are located in different areas. We will reimburse the number of Kilometers you traveled from client to client.(Required)

Emergency Contact Person Details

Full name(Required)

Relationship(Required)

Phone(Required)

Email(Required)

Address(Required)

Street Address Suburb State Postcode Country

How did you hear about us?

Your previous experience

Have you previously worked as a Support Worker, Nurse, or Cleaner?(Required)

Health & Wellbeing

Do you smoke?(Required)

Do you have any allergies?(Required)

Do you have osteoporosis?(Required)

Do you have an existing physical, medical, or psychiatric condition that we may need to take into consideration when scheduling your work?(Required)

Do you, or have you ever had a back/neck injury or pain?(Required)

Do you have a bad shoulder injury, leg, knee, hip, or bulging spinal discs?(Required)

Do you, or have you ever had any other injuries or disabilities that we should take into consideration when scheduling you for work?(Required)

Employment History (Relevant to this role)

Company or Employer Name(Required)

Position Held(Required)

From(Required)

To(Required)

Reasons for leaving(Required)

Diversity & Inclusion

Gender(Required)

Do you identify as Aboriginal and/or Torres Strait Islander?(Required)

Are you of a Culturally and/or Linguistically Diverse (CALD) background?(Required)

Is English the main language you speak at home?(Required)

What other languages can you speak?

Do you identify as Lesbian, Gay, Bi-Sexual, Transgender, Intersex, and/or Queer?(Required)

Please list 3 references (2 Must be your past employers or professional references)

Reference 2

Name of Referee(Required)

Name of Organisation(Required)

Phone(Required)

Email(Required)

Reference 1

Name of Referee(Required)

Name of Organisation(Required)

Phone(Required)

Email(Required)

Reference 3

Name of Referee(Required)

Name of Organisation(Required)

Phone(Required)

Email(Required)

Criminal Declaration

Do you have any convictions, finding of guilt, and/or pending police charges against you that are less than 10 years old?(Required)

Have you been subject to disciplinary proceedings for misconduct or terminated by an employer?(Required)

Have you EVER been convicted of theft, fraud, poor driving, drugs, drunk driving, assault, or aggression toward another person?(Required)

Are you under Police investigation or have police charges pending for theft, drugs, fraud, poor driving, drunk driving, or aggravated assault on another person?(Required)

Your Availability in a week

Your Availability in a week(Required)

Overall, how many hours per week are you IDEALLY wanting to work?(Required)

Applicant's Declaration

Applicant's Declaration(Required)

I declare that all statements which I have made on this Application for Employment are correct to the best of my knowledge and belief, and understand that any misstatement of material facts may affect the success of this or any future employment application with the company.

I further understand that failure to provide information or falsely stating any information may result in termination of employment.

I further understand and accept that my roster (if applicable) may be changed at any time with due regard to relevant awards and/or enterprise agreement conditions.

I also accept that I may be required to undertake a pre-employment medical examination by a Company-appointed GP prior to commencing employment. This pre-employment medical will be based on the inherent requirements of the position/s applied for, and any information will be made available to the Company prior to any offer of employment.

I also confirm that I am able to maintain the required standards of fitness, safety, courtesy, and neatness at all times and observe all rules and policies of the Company including due care and responsibility of Company property, equipment, and monies.

I agree to actively participate in random drug and alcohol testing as required.

I authorize the hiring company to contact former employers and educational organizations regarding my employment and education.

I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades.

I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

Full Name of the Applicant:(Required)

Documents you should need to upload for Staff Application

Note: Please ensure the following documents are uploaded to the application portal

Resume, please upload here.

Max. file size: 128 MB.

Car Insurance or CTP Insurance paperwork (we prefer fully comprehensive insurance), please upload here.

Max. file size: 128 MB.

Driving License front, please upload here.

Max. file size: 128 MB.

Driving License back, please upload here.

Max. file size: 128 MB.

Passport copy (if you are a foreigner), please upload here.

Max. file size: 128 MB.

Current Police Check (if you are a foreigner and here in Australia for less than 10 years, please provide an international police check), please upload here.

Max. file size: 128 MB.

Working with Children Card (If you have one), please upload it here.

Max. file size: 128 MB.

First Aid Certificate, please upload here.

Max. file size: 128 MB.

Manual Handling Certificate (If you have one), please upload it here.

Max. file size: 128 MB.

Food Handling Certificate (If you have one), please upload it here.

Max. file size: 128 MB.

If you're a foreigner, please provide evidence of working or visa, please upload it here.

Max. file size: 128 MB.

NDIS Worker Orientation Completion Certificate, please upload here.

Max. file size: 128 MB.

Certificate 3 in Disability or Individual Support (If you have one), please upload it here.

Max. file size: 128 MB.

Diploma of Nursing Certificate 4 in Aged Care (If you have one), please upload it here.

Max. file size: 128 MB.

Certificate 4 or Diploma in Mental Health (If you have one), please upload here.

Max. file size: 128 MB.

Certificate 4 in Disability or Individual Support (If you have one), please upload it here.

Max. file size: 128 MB.

Any other relevant qualifications (If you have any), please upload them here.

Max. file size: 128 MB.

Seizure Management Certificate - Not compulsory, please upload here.

Max. file size: 128 MB.

Medication Competency Certificate - Not compulsory, please upload here.

Max. file size: 128 MB.

Copy of Training Certificates, Other Qualification Certificates (Covid-19 Infection Control by Department of Health), please upload here.

Max. file size: 128 MB.

Any other certificate or qualification, please upload here.

Max. file size: 128 MB.

CAPTCHA

Better Life Disability care

Better Life Disability care

Better Life Disability care