Farris Care Job Application Form

Farris Care Job Application Form
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
What position are you applying for?*
Available start date:

MonthDayYear
Date
How did you hear about us?

WebsiteReferred by a friendSocial MediaOther
Do you speak any languages other than english? If yes, please list below*
What is your current employment status?*

EmployedUnemployedSelf-EmployedStudent
What is your level of experience?*

What is your level of experience?1 year+6 monthsMore than 5 years
How flexible is your availability?*

I can't be flexible, I need shifts to be booked in advance as I have other inflexible commitments to work aroundI can be available at short notice if an emergency shift arisesI can offer some flexibility when required
What is your level of qualification?*

No formal qualificationIndividual Support Certificate IIIAged Care Certificate IIDisability Certificate IVOther
What tasks are you able to help clients with?*

Accessing the CommunityTransportAssisting with use of computers or technologyMid Level Personal Care (showering, dressing, etc)High Level Personal Care (assist with tube feeding, stoma care, etc)Meal PreparationCleaningPersonal OrganisationOther
What areas are you happy to travel to for work?*

Moonee PondsFlemingtonGlenroyCraigieburnRoxburgh ParkDocklandsSouthbankMelbourne CBDFawknerSt AlbansTaylors LakesSunshineFraser RiseSunburyHoppers CrossingDeansideMulgraveSpringvaleCoburgOther
What days are you available?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What times are you available?*

Early morning (starting 6am)Morning (starting 8-9am)Mid-morning (starting 10am)Afternoon (starting 12pm)mid-afternoon (starting 2-3pm)Late afternoon (starting 4pm)Evening (starting 6pm)Night (starting 8pm)Late night (starting 10pm)Overnight
What length of shifts do you prefer?*

2-3 hour shifts4-5 hour shifts6-7 hour shifts8-9 hour shifts
What gender participants are you comfortable to work with?*

Female clientsMale clientsNon-binary clients
What age participants are you comfortable to work with?*

Children under 12Teen 12-18Young adult 18-30Adult 30-60Senior 65+
Can you provide the following required documents prior to your start?*

NDIS Worker Screening CheckValid First Aid and CPR certificateWorking With Children Check (employee version)NDIS Orientation ModuleInfection Control ModulePolice CheckCurrent Driver's LicenseComprehensive Car InsuranceCar Registration100 Points of IDRecord of Vaccination statusResumeRelevant Qualifications of Certificates (if any)
Do you have any relevant certificates to care providing such as those listed below*

Mental Health First AidTube Feeding CertificateManual Handling CertAssist with Medication certStoma CareManual Handling CertOther
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