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MON–FRI: 09:00–17:00
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First Name
Last Name
Email
Phone
Suburb of Residence
Is English your first language?
Yes
No
Are you an Australian Citizen?
Yes
No
If no, do you have the right to work in Australia?
Yes
No
Do you have any previous injuries?
COVID-19 Vaccination Status
Single Dose
Double Dose
1st Booster
2nd Booster
3+ Booster
Unvaccinated
Do you have experience as a support worker?
Yes
No
I have experience with:
Acquired Brain Injury
Aged Care
Anxiety
Autism
Cerebral Palsy
Challenging Behaviours
Dementia
Down Syndrome
Eating Disorders
Intellectual Disability
Motor Neurone Disease
Multiple Sclerosis
Muscular Dystrophy
Neurological Disorders
Paraplegiua / Quadriplegia
I have experience with:
Assisted standing
Bowel Care (Enemas/Suppositories)
Catheter care
Domestic Support
Dressing
Grooming
Hoist Transfers
Leg Bag Care
Meal Preparation
PEG Feeding
Showering
Slide Boards / Sheets
Ventilator / Tracheotomy
Wheelchairs
Wound Care
Do you have any other support worker experience not listed above?
Why do you want to be a support worker?
Do you have any experience working with children?
Do you have any experience working in aged care?
Do you have any other experience you would like to mention?
Do you have any of the following qualifications (e.g., Certificate III/IV or Diploma)
Disability
Individual Support
Community Services
Mental Health
Allied Health
Auslan
Aged Care
Do you hold the following requirements? If not, you may need to obtain if successful
First Aid / CPR
WWCC
Police Check
NDIS Worker Screener
Drivers Licence
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