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Jobseek
Bendigo Advertiser
Case Manager
RTO Trainer
Friend
Other
Personal Details
Title
DR
MISS
MR
MRS
MS
First Name *
Last Name *
Address *
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Country *
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AFGHANISTAN
ALAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CâTE D'IVOIRE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA AND MONTENEGRO
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS, BRITISH
VIRGIN ISLANDS, U.S.
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
Daytime Telephone Number: *
Evening Telephone Number: *
Mobile *
Email Address *
Date of Birth *
Do we have permission to contact you by: *
Phone
Mail
Email
SMS
Transport
Driver Licence Number: *
Expiry Date (eg. mm/yy): *
Do you have a roadworthy vehicle? *
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Yes
No
Do you have comprehensive insurance? *
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Yes
No
Police Check
Do you hold a current (within 12 months) clean national police check? *
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Yes
No
In the future, are you willing to undertake a police check at your expense? *
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Yes
No
Do you hold a Working with Children check? *
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Yes
No
In the future, are you willing to undertake a Working with Children check, at your expense? *
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Yes
No
Qualification & Training
What training qualifications or certificate do you hold? And where did you obtain your qualifications?
Are you willing to undertake further training? *
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Yes
No
Requirements of the Job
What positions have you held in this industry? Who did you work for? When? How many hours a week did you cover in this role?
Medical History
Are you prepared and able to disclose any pre existing injury that may be affected by the nature of this work? This is a requirement for us to provide you with adequate Work Cover insurance (under Section 82 (7 & 8) of the Accident Compensation Act 19
Experience
Do you have any experience in any of the duties and tasks to be undertaken, as a home, personal and respite carer?
Name the tasks that you have had experience in and for how long?
What duties are you not able to undertake, if any?
Do you consider yourself to be a good carer? If so, give an example.
Are you prepared and able to provide 3 work related referres, before commencement of work with us? *
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Yes
No
Values
Name 3 values that you consider a must for a carer to have?
Availability
Can you start immediately? *
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Yes
No
When can you start? *
What position are you looking for: *
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Fulltime Work Position
Permanant Casual Position
Casual Position
Which days of the week and hours are you available? *
Monday - Friday
Saturday
Sunday
All Day
Mornings
Evenings
Care at your Residential Address
Are you able to provide care at your residential address? *
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Yes
No
Is your home suitable for this purpose? *
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Yes
No
Will you permit an inspection to determine the suitability of your residence for that purpose? *
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Yes
No
Recruitment
Are you prepared to participate in an information / interview session to assess your suitability to the role? *
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Yes
No
Are you able to provide original copies on your qualifications, driver's licence, comprehensive car insurance, police and children check, at the information / interview session? *
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Yes
No
Are you prepared to undertake induction training? *
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Yes
No
Are you prepared to attend further training? *
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Yes
No
On commencement of employment are you prepared to sign a confidentiality agreement? *
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Yes
No
Resume
It's not necessary but you can upload your resume if you wish.
Attach Resume(100Mb Limit * )
Enter further comments regarding your application.