Join the Heart care crew | Hearthomecare.com.au

Date *

First name *

Last Name *

Address *

Mobile Number *

Email *

Are You Currently Employed *

Yes
No
Full Time
Part Time
Casual

Are You Currently Studying? *

Yes
No

If Yes, What Course? *

Do You Have A Current Drivers Licence? *

Yes
No

Do You Have A Reliable Motor Vehicle? *

Yes I have my own car
Yes I have access to a car
No I don't own or have access to a car

Do You Have A Current Federal Police Check? *

Yes I have a current federal police check
No i do not currently have this but I am willing to obtain
No I do not have a current federal police check

Do You Have A Current Working With Childrens Check? *

Yes I have a current working with childrens check
No I do not have a current working with childrens check but I am willing to obtain
No I do not have a current working with childrens check

Do You Have A Current NDIS Workers Screener Check *

Yes I have a current NDIS worker screener check
No I do not have a current NDIS workers screener check but I am willing to obtain
No I do not have a current NDIS workers screener check

Do You Have A Current First Aid Certificate? *

Yes I have a current First Aid Certificate
No I do not have a Current First Aid Certificate but I am willing obtain
No I do not have a current First Aid Certificate

Do You Have Any Previous Experience in Community Care,Aged Care or Disability Support? *

Community Care
Aged Care
Disability Support
No Previous Experience

Do You Have A Smart Phone With Internet Access{ie Iphone or Android Device}?

Yes
No

If Yes,Type

On Average How Many Hours Per Week Are You Seeking? *

0-10 hours per week
10-15 hours per week
15-20 hours pers week
20-25 hours per week
25-30 hours per week
30-35 hours per week
38 hours per week

Do You Hold A Current Qualification in Aged Care, Disibility,Community Care or Nursing? *

Certificate III
Certificate IV
Nursing Degree
I have a qualification that is not listed
I do not have a qualification but want to enrol
I do not have a qualification

What Is Your Availability- Please Specify The Hours Your Are Available To Work

Monday Morning/Afternoon-(07:00-17:00)
Monday Evening/Night- (17:00-07:00)
Tuesday Morning/Afternoon-(07:00-17:00)
Tuesday Evening/Night- (17:00-07:00)
Wednesday Morning/Afternoon-(07:00-17:00)
Wednesday Evening/Night- (17:00-07:00)
Thursday Morning/Afternoon-(07:00-17:00)
Thursday Evening/Night- (17:00-07:00)
Friday Morning/Afternoon-(07:00-17:00)
Friday Evening/Night- (17:00-07:00)
Saturday Morning/Afternoon-(07:00-17:00)
Saturday Evening/Night- (17:00-07:00)
Sunday Morning/Afternoon-(07:00-17:00)
Sunday Evening/Night- (17:00-07:00)

Do You Speak Any Language Other Than English? *

Yes
No

Other Languages *

Do You Have A Medical Condition That Could Impair Or Prevent You From Carrying Out The Duties Of The Position You Are Applying For ? *

Yes
No

If Yes, Please Specify *

Do you have your own ABN? *

Yes
No

Application Form

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