Application Questionnaire

Candidate name: *

Do you have or are you willing to obtain a DCSI Child Related Screening form? *

Yes

No. Note that if you select no, we will not be able to progress your application.

Do you have a current full Australian driver's licence? *

Yes

No. I have an international driver's licence

No. I do not have a drivers licence.

Do you have a Certificate III and/or a Certificate IV in Individual Support (Disability) or a very closely related qualification? *

Yes. I have a Certificate III.

Yes. I have a Certificate IV.

Yes. I have a Certificate III and a Certificate IV.

No. But I am willing to obtain one if my application is successful.

No. I do not have a Certificate III or IV and I am not willing to obtain one.

Have you completed Child Safe Environment or Reporting Abuse and Neglect in the past 3 years? *

Yes.

No.

Have you completed Provide First Aid in the last 3 years? *

Yes.

No.

What would be your normal availability for this role?

	AM (6am-12pm)	PM (12pm-10pm)	Overnight (10pm-6am)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Please add details if required:

What best describes your ability to work in Australia? *

I am an Australian or New Zealand citizen.

I am a permanent resident of Australia.

I am on a Visa with unlimited work rights.

I am on a Visa with limited work rights. i.e. student visa etc.

If you selected a Visa response, please specify what Visa type you are on.

Application Questionnaire

Name of applicant:

Candidate name: *

Role Requirements

Do you have or are you willing to obtain a DCSI Child Related Screening form? *

Do you have a current full Australian driver's licence? *

Do you have a Certificate III and/or a Certificate IV in Individual Support (Disability) or a very closely related qualification? *

Have you completed Child Safe Environment or Reporting Abuse and Neglect in the past 3 years? *

Have you completed Provide First Aid in the last 3 years? *

What would be your normal availability for this role?

What best describes your ability to work in Australia? *

Values

How would you be creative in this role? *

How would you be careful in this role? *

How would you be personal in this role? *

How would you be persistent in this role? *

team work

Referral

Have you been referred by an existing Cara staff member? If yes please provide details below - ie name of person.

Health check

Do you have a diagnosed disability or medical condition or mental condition that may effect your capacity to safely perform the positon? *

Are you allergic to anything? *

Have you ever had an injury resulting from work? *