Job Application Form

1
Full Name* This field is required.
Prefix
First Name
Last Name
Suffix
2
Date of birth
Date
Month
Day
Year
3
E-mail* This field is required.
example@example.com
4
Mobile* This field is required.
5
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
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Aruba
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Austria
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Laos
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Malaysia
Maldives
Mali
Malta
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Martinique
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Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
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Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
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Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
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Sudan
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eSwatini
Sweden
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Syria
Taiwan
Tajikistan
Tanzania
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Tokelau
Tonga
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Trinidad and Tobago
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Turkey
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Vanuatu
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Vietnam
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Isle of Man
US Virgin Islands
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Western Sahara
Yemen
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Zimbabwe
Other
Country
6
Do you drive and have your own car?
7
Are you willing to travel for work? If so how many k's are you willing to travel to?
8
What are your qualifications?
Certificate III in Individual Support
Certificate IV in Individual Support
Other
9
Tell me more about your experience working in the Home Care Industry
10
What skills do you possess?
11
How many years have you been working in home care?
12
At Caring Hearts we believe that Domestic Assistance is part of holistic client care. How do you feel about providing light domestic cleaning in clients' homes?
I will not provide any type of cleaning
I may provide some cleaning but not heavy tasks
I am okay with any type of cleaning
Other
13
What language/s do you speak?
14
What is your visa status:
Please Select
Please Select
Working visa
Permanent resident
Citizen
Student visa
15
Do you have work restrictions? If yes, how many hours a fortnight are you allowed to work?
16
Do you have a valid Working With Children Check?
Please Select
Please Select
Yes
No
17
Do you have a Valid police check? (issued within the last 3 years).
Please Select
Please Select
Yes
No
Police check expiry:
18
Do you have an NDIS worker clearance?
Please Select
Please Select
Yes
No
19
Do you have the NDIS New worker orientation module?
20
Are you vaccinated against covid 19? If yes, how many doses have you had?
21
You will be required to obtain the following: 1. First Aid certificate 2. CPR training 3. Manual Handling. Are you prepared to undergo said training?
Please Select
Please Select
Yes
No
22
What is your availability?
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Any special instructions about your availability?
24
Do you have any planned leave or holidays in the next 3 months?
25
How soon are you able to work?
26
Upload a Cover Letter
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Max. file size: 3.9MB
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27
Upload your Resume* This field is required.
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Max. file size: 3.9MB
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28
If your were referred by someone, please let us know by whom
29
I acknowledge that I am applying for a CASUAL ROLE at Caring Hearts In-Home Help. While the company endeavors to offer as many working hours as feasible, it is important to note that the availability of hours may vary based on demand, client availability, and preferences.I affirm that the information I am providing is accurate to the best of my knowledge.
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Yes
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