Apply As An Office Worker Form

Apply As An Office Worker

At Chosen Family we are always looking for new people to join our phenomenal team. If you feel like you want to be part of a diverse, fast-growing & joyful community with a reputation for providing quality care and support. Fill out the application below and our recruitment team will be in contact with you.
Employee Details
I'm*

a new applicantan existing staff
Please indicate the role you are applying for:
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address

Street Address

Street Address 2

SuburbState / Province

Postal / Zip Code
Suburb

Street Address

Street Address 2

SuburbState / Province

Postal / Zip Code
What core skills do you have that you could bring into the role?
Can you tell us about a time you had conflicting priorities and how you managed the situation? What was the result?
Can you describe an initiative you have lead or been a part of? What was the initiative? How did you participate? And what was the result?
Do you have any conflicts of interest to disclose?

YesNo
Please describe:
Do you identify as someone living with a disability?

YesNoPrefer not to say
Please describe:
Do you identify as an Australian Aboriginal and/or Torres Strait Islander?

YesNoPrefer not to say
Do you identify as someone from a CALD/Ethnically diverse background?

YesNoPrefer not to say
If you have answered yes to being from a CALD/Ethnically diverse background, Please elaborate below:
How far are you willing to travel?
Are you looking for Full-Time, Part-Time, or Casual work?
For Part-Time or Casual, what times are you available to work each week?

Week 1

	Monday	Tuesday	Wednesday	Thursday	Friday
Choose a day of availability

Week 2

	Monday	Tuesday	Wednesday	Thursday	Friday
Choose a day of availability

Are you currently available to work?

YesNo
If 'no', what is your notice period?
Do you have any health conditions that may prevent you from carrying out the role?

YesNoPrefer not to say
Please list:
Do you require any adjustments or accommodations to effectively perform your duties?

YesNoPrefer not to say
If you have selected Yes, please specify:
Do you give permission for your image to be on our site?

YesNo
Name one quirky/interesting fact about you.
Do you give permission for your image to be on our site?

YesNoPrefer not to say
Name one quirky/interesting fact about you:
References
Reference 1

First NameLast Name
Relationship to you:
Phone Number
Please enter a valid phone number.
Email
example@example.com
Reference 2

First NameLast Name
Relationship to you:
Phone Number
Please enter a valid phone number.
Email
example@example.com
Finally, we will be requesting below documents, please get them prepared in the event you are successful.
- Current Resume
- A valid Driver's License
- All relevant Qualifications
- Bank card or Medicare card
- Police Check/Criminal History Check
- If applicable, current VISA status and VEVO check.
If unsuccessful for the current opening, do you consent for Chosen Family to reserve your resume to compile in a talent pool for future vacancies?

YesNo
I certify that the information in this application form is correct in every detail. I accept that if I am employed by the Company and it is discovered that I knowingly provided false information on this application form, or on any attachment to this application, disciplinary action which may result in the termination of employment, will be taken. If my application is successful, I consent to my application becoming part of my employee records. If my application is unsuccessful, I consent to my application being kept on file for no longer than 5 years, but I may at any time request the Company to delete my application.
If your application is not successful, Chosen Family will keep your application on file for a period of no longer than 5 years, but you may at any time request Chosen Family to delete your application. After this time, your application will be destroyed however you are welcome to apply for any other roles advertised in the future. If your application is successful, your application will become part of your employee records. The information collected above forms part of your application for employment at Chosen Family. We will not use your personal information for any other purpose without first seeking your consent, unless authorised or required to do so by law.
Should be Empty:

Apply As An Office Worker

Employee Details

For Part-Time or Casual, what times are you available to work each week?

References