Application Questionnaire

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?

AM (6am-12pm)PM (12pm-10pm)Overnight (10pm-6am)
Please add details if required:

What best describes your ability to work in Australia? *

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

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

Candidate name: *

Do you have a diagnosed disability, or medical condition, or mental health condition that may affect your capacity to safely perform the position?

Have you ever had an injury resulting from work? *

Have you lost time from work due to injury/injuries? *

Do you or have you suffered from RSI (repetitive strain injury), tennis elbow or any other joint injuries? *

Are you currently engaging in the practice of regular treatment (physiotherapy/chiropractic/massage therapy) or on any prescribed medication eg a sedative or anti convulsant? *

Are you allergic to anything? *

Do you suffer from any musculo-skeletal conditions? *

Have you ever had any trouble wearing gloves or personal protective equipment? *