Staff Employment | Amaroo Aged Care

Position Applied For

Title

Gender

Family Name

Given Names

Preferred Name

Home Address

Home Postcode

Postal Address (if different from above)

Postal Postcode

Work Phone

Home Phone

Mobile Phone

Email Address

Are You An Australian Citizen

Visa With Work Rights

Visa Expiry Date

Australian Drivers License

License Number

Amaroo Aged Care is staffed 24 hours per day, 7 days a week. If you are successful in your application, are you prepared to work a 7 day Roster, 24 hour shift system?

If unsuccessful, do you wish to be included in an eligibility list for future positions?

Education, Training & Qualifications
Please list the relevant education and training you have undertaken and any certification received (include school, TAFE, university, adult education and short training courses).

Work History
Please list current job first (include paid and unpaid work).

Skills and Experience
(List any you feel are relevant to the position).

Why Are You Applying For This Position

Have you ever applied for a position with Amaroo Aged Care?

Have you ever been employed by Amaroo Aged Care?

LIST THREE REFEREES – NOT RELATIVES OR FRIENDS
Referee 1.

Ref1 Association

Ref1 Organisation

Ref1 Business Phone

Ref1 Mobile

Referee 2.

Ref2 Association

Ref2 Organisation

Ref2 Business Phone

Ref2 Mobile

Referee 3.

Ref3 Organisation

Ref3 Business Phone

Ref3 Mobile

Health
Do you agree to undergo a medical examination by a Doctor of our choice, at our cost, for the purpose of assessing your ability to do the job?

Do you have any health problems or medical condition which would/could affect your ability to perform the requirements of the position?

If yes please provide details?

WORKERS COMPENSATION CLAIMS
A previous Workers Compensation Claim is NOT a barrier to consideration of an application for employment. However, to assist in assessing opportunities for your placement in appropriate employment, please indicate if you have ever made a Claim for Workers Compensation?

If YES, please provide details, including date/s

LEGAL ISSUES
It is mandatory for all staff working in Aged Care to undergo a police check. Do you have any convictions for any offence from any court (excluding traffic fines), OR are you currently the subject of any charge or proceedings before any court? (You do not have to give details for any convictions declared “spent”) OR have you ever been subject to a Professional Standards hearing?

If YES, please provide details, including date/s

Supporting Documents
Please upload your resume or other supporting documents below.

Support Doc 2

Support Doc 3

DECLARATION
I hereby declare that the information provided is, to the best of my knowledge, true and correct. I understand that deliberately providing false or misleading information will disqualify me from consideration for the position, and will lead to my dismissal if already employed.

Employment

Visitors are always welcome. To find out more, or to experience Amaroo for yourself, please call or email.

Boutique aged care in the country

Contact Amaroo

Employment

Visitors are always welcome. To find out more, or to experience Amaroo for yourself, please call or email.

Boutique aged care in the country

Contact Amaroo

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