Phone:

1300 425 502

Email:

[email protected]

NDIS Accommodation
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Employment Form

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Employment Form

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- Step 1 of 4

Personal Infomation

documents Email Date

Employee Name *

First

Last

Date of Birth *

Gender *

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Position Applied *

Qualification Checklist *

Certificate III / IV in Disability
Certificate III / IV in Community Services
Diploma in Disability
Diploma in Community Services
Diploma In Nursing
Certificate/Diploma in Mental Health / Counselling
Bachelor in Health Sciences
Masters in Health Sciences
AHPRA registration certficate
Resume / CV
Other

Upload Qualifications *

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

Mandatory Certifications *

First Aid Certificate
CPR Certificate
Infection Control

Upload Certificates *

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

Employment Checklist

Please select and upload following documents (applicants of Support Worker position must provide all perquisite documents) *

100 Points of Identification (Passport / Drivers License + Medicare Card)
National Criminal History Check (valid police check)
NDIS Workers Screening Check - NDISWC (provide clearence certificate)
Working with Children Check (valid for employment)
NDIS Workers Orientation Module (provide completion certificate)
NDIS New Worker Induction Module (provide completion certificate)
Eligible to Work in Australia (Visa holders must provide current visa grant letter)

Upload files here *

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

Photo ID

Photograph is required for staff Identification badge *

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

Photograph is required for staff Identification badge

Health Declaration

Please read each statement carefully and select as appropriate *

I am not currently suffering from any medical condition or undergoing any treatment that may affect my ability to perform the essential functions of the job.
I have not had any significant work-related injuries or illnesses in the past three years.
I am not taking any prescribed medication that may impair my ability to perform my job safely and effectively.
I do not have any known allergies or sensitivities that may affect my safety or well-being in the workplace.
I have never been diagnosed with a condition that may pose a direct threat to the health or safety of myself or others in the workplace.

Provide relevant details about your health (if any)

Payroll Details

Bank/Financial Institution Name *

Account Name: *

BSB *

Account Number *

Superannuation Fund Name *

Super Fund Membership Number *

Tax File Number *

Australian Business Number (ABN)

Emergency Contact Details

Emergency Contact's Name *

Emergency Contact's Phone *

Emergency Contact's Email *

Relationship with Employee *

Our mission is to enhance quality of life for all by providing personalised support and high-quality, client-focused care tailored to individual needs.

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