Support Worker Availability Form
If you need to update your work availability please complete this form. If nothing has changed, no need to complete another form, we will use the data from your last lodged availability form. If viewing on a mobile phone, rotate device landscape to view form in full.
Name
*
First Name
Last Name
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternative contact number
Please enter a valid phone number.
Format: (000) 000-0000.
I am available to work for Neta Care
Yes, for 10-25 hours per week
Yes, for 26-38 hours per week
No, I no longer have availability to work for Neta Care
Are you available for short shifts (2-4 hours?)
Yes
No
Please select which time periods over this next 2 fortnights you are available to accept short shifts within
Fortnight 1: Short shift availability (2-4 hours)
*
Rows
All day 6am-10pm
Morning 6am-2pm
Afternoon 2pm-10pm
Not Available
Wednesday
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Fortnight 2: Short shift availability (2-4 hours)
*
Rows
All day 6am-10pm
Morning 6am-2pm
Afternoon 2pm-10pm
Not Available
Wednesday
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Do you have any further notes to add about your months availability?
Are you available for long shifts (5-10 hours?)
Yes
No
Please select which time periods over this next 2 fortnights you are available to accept short shifts within
Fortnight 1: Long shift availability (5 - 10 hours)
*
Rows
All day 6am-10pm
Morning 6am-2pm
Afternoon 2pm-10pm
Sleepover
Active Overnight
Not Available
Wednesday
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Fortnight 2: Long shift availability (5 - 10 hours)
*
Rows
All day 6am-10pm
Morning 6am-2pm
Afternoon 2pm-10pm
Sleepover
Active Overnight
Not Available
Wednesday
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Do you have any further notes to add about your months availability?
Please contact your SDM to explain why you are not available for any short or long shifts over these next 4 weeks.
How much notice (not including travel) do you need for a relief shift? (e.g. to organise child care, etc)
*
I can be ready in 1 hour
I can be ready in 2 hours
I can be ready in 3 hours
I can be ready in 4 hours
I need to be asked previous day
I cannot do relief shifts
Which Neta Care state do you work in?
*
Queensland
Tasmania
Queensland
*
Ipswich region
Logan region
Lockyer Valley/Darling Downs
Brisbane (central/south)
Brisbane (north)
Redlands region
Gold Coast
Toowoomba
Tasmania
*
Launceston
Hobart
What support work are you experienced/skilled in or prefer? (Please choose more than one where relevant)
*
Cleaning or domestic assistance (e.g. cooking, housework, gardening)
Personal care (e.g. showering, toileting dressing, eating, mobility)
Community access
Child & Youth Services (CYS) & Family Contact
High Intensity Supports
All of the above
What Neta Care HIS training modules have you completed?
*
Complex Bowel Care
Diabetes Management
Epilepsy Management
Pressure Care & Wound Management
Subcutaneous Injection
Urinary Catheters
Ventilation
Stoma Care
None
What type of clients are you most comfortable/do you prefer working with? (You can choose more than one)
*
children
teens
adult males
adult females
elderly
Please read and acknowledge the following responsibilities.
I understand that I may be called upon to work any of the hours that I have marked as available.
I understand that keeping my availability up to date by regularly updating this form is a requirement of my role.
I understand that consistent refusal of shifts at my selected availability times will be escalated to HR.
Submit
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