Farris Care Job Application Form
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
What position are you applying for?
*
Please Select
Support Worker
Cleaner
Gardener
Available start date:
-
Month
-
Day
Year
Date
How did you hear about us?
Website
Referred by a friend
Social Media
Other
Do you speak any languages other than english? If yes, please list below
*
What is your current employment status?
*
Employed
Unemployed
Self-Employed
Student
What is your level of experience?
*
What is your level of experience?
1 year+
6 months
More 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 around
I can be available at short notice if an emergency shift arises
I can offer some flexibility when required
What is your level of qualification?
*
No formal qualification
Individual Support Certificate III
Aged Care Certificate II
Disability Certificate IV
Other
What tasks are you able to help clients with?
*
Accessing the Community
Transport
Assisting with use of computers or technology
Mid Level Personal Care (showering, dressing, etc)
High Level Personal Care (assist with tube feeding, stoma care, etc)
Meal Preparation
Cleaning
Personal Organisation
Other
What areas are you happy to travel to for work?
*
Newport
Braybrook
Sunshine North
Kings Park
St Albans
Albanvale
Ardeer
Burnside
Deer Park
Caroline Springs
Cairnlea
Altona Meadows
Hoppers Crossing
Flemington
Maribyrnong
Ascot Vale
Glenroy
Pascoe Vale
Hillside
Sydenham
Taylors Lakes
Moonee Ponds
Essendon
Oak Park
Jacana
Broadmeadows
Meadows Heights
North Melbourne
Carlton
Brunswick
Brunswick West
Fawkner
Mickleham
Craigieburn
Airport West
Roxburgh Park
Fitzroy
Collingwood
Reservoir
Lalor
Richmond
South Yarra
Mulgrave
Noble Park
Thornhill Park
Bonnie Brook
Fraser Rise
Melton
Sunbury
Harkness
Baldivis
Beveridge
Brookfield
Bulleen
McKenzie Hill
Endeavour Hills
Other
What days are you available?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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 shifts
4-5 hour shifts
6-7 hour shifts
8-9 hour shifts
What gender participants are you comfortable to work with?
*
Female clients
Male clients
Non-binary clients
What age participants are you comfortable to work with?
*
Children under 12
Teen 12-18
Young adult 18-30
Adult 30-60
Senior 65+
Can you provide the following required documents prior to your start?
*
NDIS Worker Screening Check
Valid First Aid and CPR certificate
Working With Children Check (employee version)
NDIS Orientation Module
Infection Control Module
Police Check
Current Driver's License
Comprehensive Car Insurance
Car Registration
100 Points of ID
Record of Vaccination status
Resume
Relevant Qualifications of Certificates (if any)
Do you have any relevant certificates to care providing such as those listed below
*
Mental Health First Aid
Tube Feeding Certificate
Manual Handling Cert
Assist with Medication cert
Stoma Care
Manual Handling Cert
Other
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