Easy iCare Sydney New Staff Application Form

Easy iCare Sydney New Staff Application Form
Easy iCare SYD is often looking for honest, hardworking, and skilled workers who are focused on delivering respectful, high-quality care to those we support.

To proceed with the next stage of your application, we require that you first complete this form.

Please ensure the documents listed below are scanned and saved on your computer before you begin.

The documents we require in this form are a copy of the following:
- A cover letter explaining why you are a good fit for the role.
- An updated CV or Resume.
Compliance Documents:
1. NDIS Worker Screening Check
2. Working with Children Check
3. First Aid Certificate
4. CPR Certificate
5. Right to Work Document
6. Driver's License
Note: We highly recommend uploading these documents to speed up the application process.

Additionally, please include the details of two individuals, including their company, position, and contact information, for your professional and character references.

The team is looking forward to receiving your application.

Best regards,
Easy iCare SYD Compliance Team
Name*

PrefixFirst NameLast Name
Preferred Name*
Previous Name*

First NameLast Name
Date of Birth*

DayMonthYear
Gender*

MaleFemaleOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email*
What state or province are you applying for?*

VICNSW
Do you have internet available at home?*

YesNo
Do you have data on your mobile phone?*

YesNo
Nationality*
What is your cultural background?*
What attracted you to join our team?*

WebsiteWord of MouthJob AdReferral
Screening Questions
Are you comfortable with personal care?*

YesNo
Are you comfortable working with pets such as cats and dogs?*

Yes to cats and dogs.Yes to cats but not with dogs.Yes to dogs but not with cats.No to both.
Do you smoke?*

YesNo
Do you have a registered, safe and road-worthy vehicle?*

YesNo
Type of vehicle?*
Type of vehicle insurance?*
Have you been trained in trauma-informed practices?*

YesNo
Have you had experience supporting people with challenging behaviors?*

YesNo
Do you have a Manual Handling certificate?*

YesNo
Do you have a current Disability Support Worker Certificate or its equivalent?*

Yes, I have CERT in DisabilityYes, I have an equivalent CERTNo
Please upload your CERT in Disability or its equivalent here.*

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Do you have training or experience supporting people with the following conditions?*

Rows	Training	Experience	Both
Acquired Brain Injury (ABI)
Asthma
Autism
Cognitive Disabilities
Diabetes
Epilepsy
Infection (Control Management)
Medication Management
Mental Health Conditions
Vision Impaired
Non - verbal

Do you have training or experience supporting people who require assistance with the following?*

Rows	Training	Experience	Both
Catheter
Epipen
Chronic Bowel Issues
Medication
Palliative Care
Complex Needs
Community Access
CPAP
PEG Feeding

Resume and Cover Letter
Please upload your cover letter here.*

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Please upload a copy of your update resume here.*

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Compliance Documents
Do you have a valid NDIS worker screening check?*

Yes, and I can upload the document now.Yes, but I will upload the document once I'm successful.No
Please upload your NDIS worker screening check here.*

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Do you have a valid Working with Children Check?*

Yes, and I can upload the document now.Yes, but I will upload the document once I'm successful.No
Please upload your Working with Children Check here.*

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Do you have an updated First Aid Certificate?*

Yes, and I can upload the certificate now.Yes, but I will upload the certificate once I'm successful.No
Please upload your First Aid Certificate here.*

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Do you have an updated CPR Certificate?*

Yes, and I can upload the certificate now.Yes, but I will upload the certificate once I'm successful.No
Please upload your CPR Certificate here.*

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What is your Right to Work Document?*
Other (Please specify your Right to Work Document).*
Please upload your Right to Work Document here.

You can choose to upload your RTW document now or once you are successful.
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Do you have a valid Driver's License?*

Yes, and I can upload the front and back of my License.Yes, but I will upload the front and back of my License once successful.No
Please upload the front and back of your Driver's License here.*

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Professional/ Character Reference

Must have at least two people whom we can contact for professional/character references.
1st Reference
Name*

First NameLast Name
Company*
Position*
Contact Information*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address:*
2nd Reference
Name*

First NameLast Name
Company*
Position*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
3rd Reference (Optional)
Name

First NameLast Name
Company
Position
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
Signature
Admin Use Only

Unsuccessful ApplicantWithdrawn ApplicationUnsuccessful Reference CheckUnsuccessful Compliance CheckSuccessful - Proceed with InductionWaiting for Interview Notes
Interview notes to be completed by:

Steve SemranyPatrick SemranyMichael Atienza
When was the applicant contacted?

DayMonthYear
Do they have the following?

Uploaded ResumePolice Check (ACT Only)First AidCPRRWT DocumentsDriver's LicenseTwo Professional/Character reference checkProof of QualificationsWorking with Children Check - EmployeeNDIS Worker Screening Check ClearanceNDIS Worker's Orientation ModulesSupporting Effective CommunicationSupporting Safe and Enjoyable MealsNew Worker NDIS Induction ModuleCFA Certificate (Home Fire Safety for people at higher risk)Infection and Prevention Control CertificateHand Hygiene Certificate
Interview Notes
Should be Empty:

Easy iCare Sydney New Staff Application Form

Screening Questions

Resume and Cover Letter

Compliance Documents

Professional/ Character Reference