Employment Application

I have read and understood the job description *
Name *
Name
EDUCATION
Only applicable if you attended more than one secondary school
FURTHER EDUCATION AND TRAINING
Proof Of Training, Qualifications or Membership of Professional Organisations Listed Above May Be Requested
EMPLOYMENT RECORD
Current or Most Recent Position
EMPLOYMENT RECORD - Previous Positions
List last job first, accounting for all gaps in employment. YOU MUST INCLUDE - Employers Name - Start & End Date - Duties Performed - Reason For Leaving - Referee Name
REFERENCES
List 3 if possible YOU MUST INCLUDE - Name - Company - Postion Held - Contact Number
GENERAL
Have you had experience developing or implementing individual plans/person centred plans?
Have you had experience dispensing medication?
Have experienced a person with Epilepsy/ having seizures?
Are you comfortable with personal care for males?
Are you comfortable with personal care for females?
Do you have a current, NSW drivers licence?
Can you provide your own vehicle if required?
Have you had experience driving a people mover/van?
Do you have a current Senior First Aid certificate?
What is your availability to work?
MONDAYS
TUESDAYS
WEDNESDAYS
THURSDAYS
FRIDAYS
SATURDAYS
SUNDAYS
Preferred Work Area
Do you have any impairment or medical condition, which could interfere with your ability to complete the essential tasks of the job for which you have applied?
Do you take any medication that may affect your ability to do the job?
Do you agree to undertake a police background check?
Are you a citizen of Australia?
If no, are you legally allowed to work in Australia?
DELARATION *
A. I certify that the particulars contained in this employment application are correct. B. I give the organisation the right to verify information contained in this application with my former employers. C. If employed by the organisation, I agree: - to work in accordance with the award under which I am employed, if applicable; - to abide by the policies and procedures of the organisation. D. I understand that any misleading information provided in this application or at interview may jeopardise my employment.