Employment Application Form

  • EMPLOYMENT APPLICATION FORM  

    Mildura Disability Support Services

  • CONFIDENTIALITY & APPLICATION NOTE

    This is a private and confidential application. All information provided will be treated in the strictest confidence and used solely for recruitment purposes.

    We understand this application is more detailed than most. That is intentional.

    By completing this form, you have already completed around 70 percent of our recruitment process. If your application meets our requirements, you will be offered an interview.

    This approach ensures the role is the right fit for you as much as it is for us and avoids wasting your time progressing through a process for a position that may not suit your availability, experience or expectations.

  • Date of Birth*
     / /
  • Are you male or female?*

  • SECTION 1: MANDATORY REQUIREMENTS (NON NEGOTIABLE)

  • 1. NDIS Worker Screening Check status*

  • If Selected Yes:  

  • If Applied:  

  • 1.Working with Children Check status*

  • If Selected Yes:  

  • If Applied:

  • 3. NDIS Worker Orientation Module completed*
  • 4. Current First Aid and CPR (within 3 years)*
  • 5. Infection Control Training completed*

  • SECTION 2: TRANSPORT REQUIREMENTS (NON-NEGOTIABLE)

  • 6. Valid Australian driver’s licence*
  • 7. Reliable access to a registered and insured vehicle*
  • 8. Have you received any driving fines or infringements in VIC or NSW in the past 5 years?*

  • SECTION 3: AVAILABILITY ABILITY AND COMMITMENT

  • Rows

  • SECTION 4: SUITABILITY AND ATTITUDE

    Note: The following questions help us understand your suitability for the role, including reliability, flexibility, and experience. Please answer in your own words, as responses that appear AI-generated may be given lower priority.
  • Do you agree to maintain reliability and flexibility in your role as a Disability Support Worker, including the ability to adapt to changing shifts and client needs?*
  • How did you hear about Mildura Disability Support Services?*
  • Are you trained in or willing to do personal care?*

  • SECTION 5: TECHNOLOGY COMPETENCY

  • SECTION 6: EXPERIENCE AND QUALIFICATIONS

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  • SECTION 7: ROLE FLEXIBILITY

  • SECTION 8: REFERENCES

  • SECTION 9: FINAL DETAILS

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  • I declare that all the information provided in this application is true and correct to the best of my knowledge. I understand that any false or misleading information may result in the termination of my employment.

  • *

  • Thank you for applying. While we truly appreciate your interest in Mildura Disability Support and the time you took to submit your application, we regret to inform you that you do not currently meet the essential requirements for this role.

    As a result, we are unable to progress your application any further at this stage. We encourage you to review the role criteria for future opportunities that may better align with your skills and experience, and we thank you again for considering a position with our team.

  • Date*
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