Employment Application Form

Direct Support Worker Application

Exciting new positions for Support Workers are available, where you can join a community dedicated to assisting participants in achieving their NDIS goals

Direct Support Worker Application

Rotating Roster - You must be available for at least 20 hours per week, 4-5 days, across a variety of shifts times: May include Morning, Afternoon and Evenings

Direct Support Worker Application

No previous experience is necessary and training will be provided, however you must be comfortable working with people of varying ages and disabilities

Direct Support Worker Application

Employment with Including You is subject to an NDIS Worker Screening check, current Employee Working with Children Check and Victorian Driver Licence

Direct Support Worker Application

Acceptable Reference Types include - Direct Line Managers - Work Colleague - Mentor - Trainer

Applicant Details
Availability & Duties
Employment & Education
Clearance Checks
Professional References

Professional Reference 1 (No Character References permitted)

First Name

Last Name

Relation to Applicant

Organisation

Contact Number

Email Address

Professional Reference 2 (No Character References permitted)

First Name

Last Name

Relation to Applicant

Organisation

Contact Number

Email Address

Professional Reference 3 (No Character References permitted)

First Name

Last Name

Relation to Applicant

Organisation

Contact Number

Email Address

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Employment Application Form

Direct Support Worker Application

Direct Support Worker Application

Direct Support Worker Application

Direct Support Worker Application

Direct Support Worker Application

Contact Details

Preferred Name

First Name

Last Name

Date of Birth

Which of the following most accurately describe(s) you?

If Other, please describe here

Preferred Pronouns

Residential Address

State

Postal Code

Mobile Number

Email Address

Entitlement to work in Australia

Best Contact Method

About You

Hobbies

Interests

Are you aware of any pre-existing injury or condition that may be affected by this work? If yes, please disclose below (Failure to disclose may result in no Work cover entitlements)

Select 3 of the following which best describes you?

How did you find out about this position?

If Other, Specify Source

Please let us know about what's important to you in your next role

Three things most important to you in your next role

Availability

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

How many hours per week would you be able to work? (Minimum 20 hours required)

Are you able to work shifts with a 3 hour minimum?

How many kilometres would you be willing to travel to a shift?

Comments

The following is a list of duties & tasks you may be asked to perform as a Direct Support Worker

Please indicate which Personal Care tasks you are experienced in assisting with

Please indicate which domestic duties you are able to assist with

Please indicate which activities you would be willing to do with Service Users

Comments

Employment

Current Employment Status

Availability or Notice Period

Have you worked as a Support Worker previously?

Any comments on your current work status? (Intention to leave or retain current job role, is your current employer unaware of this application)

Qualifications & Training

Have you completed a Certificate IV in Disability?

Please detail qualifications and training you have completed or are currently undertaking

Do you have a current Level 2 First Aid Certificate?

Mandatory Checks

Are you willing to undertake the NDIS Worker Screening Check?

Are you willing to undertake an Employee Working with Children Check (Cannot be Volunteer)

Have you been charged or convicted of a criminal offence in Australia or overseas?

If yes, you are required by law to outline the nature and date of the offence(s), other than convictions under Commonwealth Law that occurred more than ten years ago

Do you have a current Victorian Driver Licence?

Is the car you intend to use for work purposes registered?

Do you have comprehensive Car Insurance

Are you willing to use public transport?

Comments

Professional Reference 1 (No Character References permitted)

First Name

Last Name

Relation to Applicant

Organisation

Contact Number

Email Address

Professional Reference 2 (No Character References permitted)

First Name

Last Name

Relation to Applicant

Organisation

Contact Number

Email Address