Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth
*
-
Day
-
Month
Year
Date
NDIS Worker Check ID
If you don't have this yet please let us know.
Please provide a reference
Please provide emergency contact
*
Upload Working With Children Check or Blue card / Yellow card
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Drag and drop files here
Choose a file
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of
Please upload your NDIS Mandatory Orientation module certificate
*
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Choose a file
Details on what you need to complete are in the link above.
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of
Upload your current Drivers licence
*
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of
Please upload any insurances you have
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Please upload any qualifications that are relevant, first aid, Certificate IV in fitness or degrees
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Choose a file
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of
Address
*
Suburb
*
State
*
Postcode
*
BSB
*
We need this so we can pay you
Bank Account number
*
We need this so we can pay you
If referred by an existing Fitness Carer please write their name here.
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