Expression of Interest Form
Disability Support Worker
Full Name
*
First Name
Last Name
Age
Sex
Please Select
Cis Male
Trans Male
Cis Female
Trans Female
Non Binary
Intersex
Other
Address
Street Address
Street Address Line 2
City
State / Province
Post Code
Mobile Number
*
No spaces
E-mail
*
example@example.com
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Questions and Details
Please provide brief answers. There are no right or wrong answers to these questions. Please answer truthfully.
Duration of your experience as Disability Support Worker
*
Please include years and months
Relevant Qualification for Disability Support Work
*
Please include your qualifications relevant to Disability Support Work. I.e. Cert. III in Disability, Diploma of Community Services, Bachelor of Nursing etc.
Preference for Work Locations (please select if you can travel to these locations for work)
Eastern Suburbs (Includes Bondi, Vaucluse, Double Bay, Waverley, Randwick, Maroubra, Mascot)
City Suburbs (Includes Redfern, Waterloo, Alexandria, Green Square)
Inner-west (Includes Sydenham and Marrickville)
North-West (Includes Hornsby and Asquith)
Western Sydney (Includes Parramatta, Westmead and Seven Hills)
Sutherland Shire (Includes Brighton Le Sands, Ramsgate Beach, Sans Souci, and Caringbah)
South-West (Includes Liverpool, Campbelltown, Camden)
Do you have a reliable car with comprehensive insurance?
*
Please also include the make and model of your car.
Some of our participants might require personal care. Are you experienced and willing to provide Personal Care?
*
Personal care includes but not limited to helping participants with Shower, Toileting and Personal Cleaning with the help of assistant technology.
Some of our participants might require community access supports. Are you experienced and willing to provide Community Access Supports?
*
Community Access supports include but not limited to helping participants with shopping, outing and taking them to recreational activities and appointments.
Are you familiar with following Behaviour Support Plans, Mealtime Management Plans, incident reporting, entering shift notes, following shift duties, entering requested participant data and/or medication monitoring ?
*
Please briefly describe your experiences for each.
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Availability
Please give us an idea of when you are generally available for work.
Please select the times, when you are generally available
Monday Mornings
Monday Afternoons
Tuesday Mornings
Tuesday Afternoons
Wednesday Mornings
Wednesday Afternoons
Thursday Mornings
Thursday Afternoons
Friday Mornings
Friday Afternoons
Saturday Mornings
Saturday Afternoons
Sunday Mornings
Sunday Afternoons
Public Holiday Mornings
Public Holiday Afternoons
Sleepover Shifts (10 PM - 6 AM)
Other
Please feel free if you have any additional notes
Please upload your CV
*
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