Phoenix Healthcare Application
  • Support Worker Application

    Phoenix Healthcare - Home and Community  
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  • 6. Date Available*
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  • 9. Gender (please note that this information is not used for selection purposes)*
  • 13. Are you currently legally allowed to drive in New Zealand?*
  • 14. Please indicate which licence you currently hold*
  • 15. Do you have any cases pending that could affect your licence?*
  • 16. Do you own your own reliable vehicle?*
  • 17. Do you have access to a Smart Phone (with data) in order to use our rostering app?*
  • 18. Having a valid and current First Aid certificate is important in this role to help ensure the safety and well-being of those you support. Your ability to provide immediate care in an emergency can make a significant difference. Do you currently hold a valid First Aid Certificate?*
  • 20. Are you able to work BOTH a Saturday AND Sunday?*
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  • 27. As a Community Support Worker, you may be providing support in clients' homes where pets are present. To help us ensure a comfortable and safe work environment for you, please let us know if you have any pet allergies or if you feel uneasy around certain types of pets. Please note that while we cannot guarantee a pet-free environment, we will do our best to consider your preferences when scheduling your hours. Do you have any pet allergies?*
  • 28. Are there any pets you feel uncomfortable being around?*
  • 30. Are you currently engaged in any form of secondary employment?*
  • 32. Given the nature of the tasks associated with prospective employment, do you suffer from any injury, ailment, condition, or disability which may adversely limit or prevent you from carrying out the functions of this position?*
  • 33. Are you currently receiving medical treatment or under medication, or suffer a condition which we should be aware of so that we can provide appropriate assistance should the need arise?*
  • 35. If required, do you agree to attend a Registered Health Professional nominated by the employer to undertake a consultation, examination or tests as may be appropriately required?*
  • 36. Due to the risk of working in the community which can provide a high risk of illness through the transmission of infectious diseases, can you confirm if you have had a Flu Shot (Influzenza Group A) & COVID-19 (including boosters) vaccinations?*
  • 37. Do you have any criminal convictions, or currently being investigated for any criminal offence in any country?*
  • 38. Do you consent to inquires being made as to the accuracy of information in this application form and in your curriculum vitae e.g., drivers licence check, qualifications check?*
  • 39. Do you consent to a police security check?*
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