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Email
*
Your email
Name
*
Your answer
Contact Phone
*
Your answer
Email
*
Your answer
Address (at least Suburb & Postcode)
*
Your answer
Gender
*
Male
Female
Prefer not to say
Other:
Age Group
18-25
26-30
31-36
36-47
48-67
Other:
Clear selection
Nationality (Indicate type of visa if not a citizen)
Australian
Other:
Clear selection
Relevant qualification
*
None
Cert. III or IV Individual Support / Disability
Cert. III or IV Aged Care
Bachelor in Nursing
Student in health or social science fields
Other:
Required
Work Availability
*
Day shift
Night shift
Sleepover (non-active)
Weekends
Required
Drivers Licence
Yes (Australian)
Yes (International)
No
Clear selection
Transport type
*
Choose
Owns a car
Public transport
Uber/Taxi
Professional Reference 1 (Name, number, relationship)
*
Your answer
Professional Reference 2 (Name, number, relationship)
*
Your answer
Do you have your COVID vaccinations?
*
Yes
No
Relevant experience
*
None
Working with children
Aged Care
Seizures
Mental health
Mobility Assistance / Manual Handling
Meal preparation
Personal care (hygiene/toileting)
Medication management
Other:
Required
Additional Comments
Your answer
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