Application Form

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Application Form

My Support Services is an Equal Opportunity Employer. Applicants are considered for employment and promotion without regard to race, age, sex, sexual orientation, gender history, marital status, family status and responsibility, political and religious conviction, impairment or pregnancy.

    Applicant Details

    Title
    Surname
    Given Name/s
    Home Address
    Suburb
    State
    P/Code

    Contact Details

    Work
    Home
    Phone
    Email
    Are you an Australian Citizen / Permanent Resident?
    How long have you been in Australia?
    Visa Type
    Visa Number
    Issue Date (mm/dd/yyyy)
    Expiry Date (mm/dd/yyyy)
    Do you consent for My Support Services to check your visa status on Vevo?

    (Note: To be eligible for employment, applicants must have the appropriate work visa or have permanent residency status. A copy of a current work visa is required)
    Do you require any special arrangements at an interview? If yes, please give us a call.
    Have you ever been in serious breach of any client protection and/or Code of conduct?
    Do you have any convictions, finding of guilt and/or pending police charges against you relating to the abuse of, or inappropriate behavior towards a child, elderly or vulnerable person?

    (Note: A criminal records check is a prerequisite of the position.)

    Referee Details


    (NOTE : THREE REFEREES ARE REQUIRED. AT LEAST TWO OF THESE REFEREES SHOULD HAVE BEEN YOUR IMMEDIATE SUPERVISOR IN YOUR PAST OR EXISTING ROLE)
    1. Referee
    Name
    Position Held
    Length of Employment
    Phone
    Name of Organization
    2. Referee
    Name
    Position Held
    Length of Employment
    Phone
    Name of Organization
    3. Referee
    Name
    Position Held
    Length of Employment
    Phone
    Name of Organization
    Medical History
    1) Do you have any convictions, finding of guilt and/or pending police charges against you relating to the abuse of, or inappropriate behavior towards a child, elderly or vulnerable person?

    What do you require from the company to assist you in performing your daily duties?
    2) Do you suffer from any allergies?
    3) Are your immunizations for whooping cough, measles, chicken pox, tetanus and other transferable or infectious illnesses up to date?
    4) Have you suffered from any infectious diseases in the past 12 months?

    Certification


    I hereby certify that the above information is correct and complete to the best of my knowledge and belief. I understand that, if I am employed, I will be liable to dismissal if any of the statements in my application are found to be deliberately misleading.

    Applicants Name
    Signature (You can type in your name as well)
    Date (mm/dd/yyyy)
    - Applying for a position at My Support Services: Please note that failure to complete the application form, providing an updated resume, and a certified or original copy of your qualification attainment certificates will result in the rejection of your application. - Interview and selection process: A selection panel interviews and selects successful applicants. The panel will include one member of the team who works in the relevant area. The selection of candidates for positions with My Support Services is determined by skills, knowledge, experience and the personal qualities that best match the job requirements, My Support Services Vision, Mission, Values and our Strategic Direction. The selection panel will assess your ability to do the job through interview questions and referee checks. - Referee Check: The selection panel will contact your referees if you are shortlisted by My Support Services following an interview. Your nominated referees must include your current direct line supervisor. The selection panel will ask your referees to comment on your work behavior and can be asked to verify or comment on claims made by you. - Criminal records check: A criminal records check is required for all My Support Services staff. Any recorded details on your criminal records check do not necessarily disqualify you from selection. You will be given the opportunity to discuss the matter before any final decision is made. - Working with children check: If applying for a position in child-related role a working with children check will need to be undertaken by you. This is a formal process of checks to determine your suitability to work with children. This check takes into account relevant criminal records. - Important Information: To maximise your opportunity for employment in this role, the following is suggested: A resume with a statement addressing your relevant skills and experience is essential. Details concerning the required selection criteria (skills, experience and capacities) are specified in the Position Description.
    Police Check
    Certificate 3 in Individual Support (or any higher qualification you possess)
    Updated Resume
    Driver's License
    Working With Children Check
    First Aid Certificate
    NDIS Worker Screening Check
    NDIS Worker's Orientation Completion
    Manual Handling Training (if available)
    Medication Administration Training (if available)