Application for Employment

APPLICANT INFORMATION

Title *

First Name *

Surname *

Date of Birth *

Mobile *

Email *

Address *

Street address *

Suburb *

State *

Postcode *

Language/s Spoken *

Position of Interest *

There are currently no available positions for this Selection.

Application can still be completed, we will keep your Application on file for 6 months in the case a position becomes available.

APPLICANT AVALIABILITY

Advise the hours and days what you would be available for in the selections below.

Comments on Availability

How many hours work per week are you seeking?

DOCUMENTATION

You may be issued a HYPE Aged and Disability Services Identification Card.
Please upload a photo of yourself, ensuring that the top of your shoulders are also in the frame of the image.
Note: ‘Selfies’ and images with filters or that are obviously edited will not be acceptable.

ID Photo *

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Are you an Australian Citizen or Permanent Resident? *

YesNo

Please advise Visa expiry date *

Please upload your Working Rights *

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Have you ever been convicted of a criminal offence, and/or are you currently facing charges yet to be faced for any criminal offence? (Do not include parking fines/expiation notices unless Driving Under the Influence) *

YesNo

Please provide details *

Please tick to comfirm you have the below:

National Police Clearance less than 3 years old *

National Police Clearance *

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DHS Working with Children Check less than 3 years old

DHS Working with Children Check *

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First Aid Certificate

First Aid Certificate *

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Child Safe Environments or similar (RRHAN)

Child Safe Environments or similar *

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NDIS Worker Screening

NDIS Worker Screening *

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NDIS Workers Orientation Module - ‘Quality, Safety and You'

NDIS Workers Orientation Module *

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Drivers License

Drivers License *

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Please upload your resume *

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Are you willing to undertake NDIS Worker screening? *

YesNo

Have you ever been dismissed from a previous employer? *

YesNo

Please provide details *

QUALIFICATIONS

Degree/Certificate *

Institution *

Did you graduate? *

YesNoStill Studying

Year of Completion (if applicable)

Expected completion year

Degree/Certificate *

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Additional Qualifications to add? *

YesNo

Degree/Certificate

Institution

Did you graduate?

YesNoStill Studing

Year of Completion (if applicable)

Expected completion year

Degree/Certificate *

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Additional Qualifications to add?

YesNo

Degree/Certificate

Institution

Did you graduate?

YesNoStill Studing

Year of Completion (if applicable)

Expected completion year

Degree/Certificate *

Browse

Additional Qualifications to add?

YesNo

Degree/Certificate

Institution

Did you graduate?

YesNoStill Studing

Year of Completion (if applicable)

Expected completion year

Degree/Certificate *

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REFERENCES

Please list three professional references

Reference 1

First Name *

Last Name *

Company *

Relationship *

Phone *

Reference 2

First Name *

Last Name *

Company *

Relationship *

Phone *

Reference 3

First Name

Last Name

Company

Relationship

Phone

HEALTH DETAILS

Do you have any current physical disability or restriction or movement which might prevent or impede you from being able to safely perform the duties of the position for which you have applied (refer to role description) *

YesNo

Do you have any medical or psychological condition or blood borne virus (e.g. Hepatitis B, C or HIV) which might prevent or impede you from being able to safely perform the duties of the position for which you have applied? *

YesNo

If required do you agree to undergo a medical examination and/or a functional capacity evaluation that relates to the inherent requirements of the job? *

YesNo

Have you lodged a Workers Compensation claim for an injury or illness which might prevent or impede you from being able to safely perform the duties of the position for which you have applied? *

YesNo

Have you ever received a lump sum payment of any kind from any employer under the South Australian Return to Work Act or its predecessors? *

YesNo

Please provide the Employer’s name and date from which the lump sum payment was received: *

How did you find out about us? *

DECLARATION AND SIGNATURE

I declare:

That the information on this application and any other documents provided by me in support of my application for employment including anyinformation provided during interviews is true and correct in every detail.

Name of Applicant *

Date *

Signature of Applicant *

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