COVID-19 Message: click here

Employment Application


Basic Information

Title

First Name*

Last Name*

Preferred Name/Alias

Address*

City/Suburb*

State*

Postal Code*

Home Phone

Mobile Phone*

Language/s

Position Applied For - Select one or more *

Experience*

Working with Children Check Number

NSW Police Check Number

Upload Resume

Support Work Preferences

Disability supportPersonal care - simplePersonal care - complexDementia supportMental health supportEnd of lifeSocial supportDomestic assistanceMeal preparationRespite supportShoppingTransportBowel careHoistPEG feed

Polo Shirt Size

smallmediumlargex-largexx-largexxx-large

Availability

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Availability for overnight/public/school holidays

School HolidaysSleepovers / OvernightPublic Holidays

Medical Condition

Do you have a medical condition that could impair or prevent you from carrying out the duties of the position you are applying for? *

YesNo

Medical Condition Details*

Have you ever made a worker's compensation claim? *

YesNo

Claim Details*

References

(Please provide two recent work-related references)

Employment reference contact*

Organisation*

Phone Number*

Period of your Employment*

Employment reference contact*

Organisation*

Phone Number*

Period of your Employment*

Superannuation Fund

Name of Super Fund

Superannuation Pollicy Number

Tax File Number

Bank Account Details

Bank and Branch

BSB

Drivers License

Drivers License Number

Class

Expiry Date

Please Note

This information will be used solely for the purposes of your employment with Moylan Care Group. We will never share your personal information with any person or organisation unless we have your written permission to do so, or are required to by law or subpoena.

Applicant Signature

Date / Time*