Support Worker Application
Name
*
First Name
Last Name
Your mobile number
*
Please enter a valid phone number.
What is your email?
*
example@example.com
What's your full address?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your date of birth?
*
-
Month
-
Day
Year
Date
What is your gender?
*
Woman
Man
Prefer not to disclose
Prefer to self-describe: ___________
This role requires both access to a reliable car and a valid P1, P2, or unrestricted NSW driver's licence. Do you meet this requirement?
*
Yes, I have a valid licence and access to a car
No, I do not have a valid licence or access to a car
Driver's License (front)
*
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Driver's Licence (back)
*
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What days are you available?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Note/Comments:
Have you completed the NDIS Worker Screening Check and received a clearance to work with NDIS participants in NSW?
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Yes – I have a valid clearance
No – I am in the process of applying
No – I have not applied
NDIS Worker Screening Check Number
COVID-19 Vaccination Status (NSW Public Health Order)
*
Yes, I have received 3 doses
Yes, I have 2 doses and meet the exemption criteria
No, I have not received the required doses
Please provide us with your vaccination certificate/medical exemption
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What drives your passion for supporting others? Please share what motivates you to work in this field.
*
What hobbies or interests are you passionate about? We ask this to help us get to know you better and to support meaningful connections with clients who may share similar interests.
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What is a key skill or strength that sets you apart, and how might it benefit the clients you support? Your response may be used to help introduce you to clients and highlight what makes your support unique.
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Do you have previous experience working in the mental health sector? If yes, please briefly describe your role(s), settings, and any relevant client groups supported. This information helps us match you with suitable clients and share your background in your Psych Informed profile.
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Are there any client groups you’re especially interested in—or prefer not—to work with?(e.g. children, older adults, or specific mental health conditions) Your response helps us match you with clients that align with your strengths and preferences.
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In one sentence, describe 5–6 personal qualities that best represent you. This will help us introduce you to clients and build your Psych Informed profile in a way that reflects your personality and approach to support.
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Do you speak any languages other than English? If so, please list them below. This helps us support culturally diverse clients and make meaningful matches.
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Are you able to provide a valid National Police Check issued within the past two years?
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Working With Children Check Number?
Working With Children Check
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Please list all relevant qualifications you have completed, are currently studying, or have previously commenced (e.g., degrees, diplomas, or certificates related to mental health, psychology, counselling, disability, or community services).
*
Please upload a clear photo, scan, or screenshot of your mental health–related degree, diploma, certificate, or academic transcript as evidence of your qualification.
*
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Please provide a clear and professional photo of yourself with a smile. This will be used for employee identification purposes and your Psych Informed profile, helping clients recognise and feel comfortable with their support worker.
*
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Lastly, upload a copy of your CV/resume
*
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What date are you able to start?
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Month
-
Day
Year
Date
Privacy Disclosure and Consent. I consent to Psych Informed Pty Ltd collecting, storing, and sharing my information (ID, checks, qualifications) for recruitment, compliance, and client matching, in line with privacy laws.
*
I agree
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