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Staff In-Take Form
Sample form
Staff Details
Name
*
First Name
Middle Name
Last Name
Gender
*
Please Select
Male
Female
Date of Birth
*
/
Day
/
Month
Year
Date
Phone Number
-
Area Code
Phone Number
Mobile Number
*
Mobile number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State
Post Code
Profiles
Residency Status
*
Please Select
Australian Citizen
Permanent Resident
Temporary Resident
Work Visa
Others
Nationality
List the Languages that you can speak
List your Certificates
On-going Availability
Please list your availabilities e.g. Monday 8am-5pm, Sunday - Not available
Proposed Start Date
/
Day
/
Month
Year
Date
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Next of Kin / Emergency
Next of Kin Contact Person
First Name
Last Name
Next of Kin Contact Phone Number
-
Area Code
Phone Number
Next of Kin Email
example@example.com
Relationship to the Staff
Others
Additional notes
I confirm that all information given in this form is true, complete, and accurate.
Signature
Heading
Internal Office Use
This section contains checklist for internal office use
DayspringCare Checklist
Staff has received Premium Standard Welcome email
Staff has downloaded the app
Staff has read Premium Standard Getting Started and Sign Off videos
Staff is able to login
Staff is able to see roster (if has been assigned)
HR & Accounting
Setup Payroll
Completed Orientation
Submit
Submit
Print Form
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