Employment

Employment Form

Are you aware of any preexisting injury that may be affected by this work? If yes, please disclose any preexisting injury or disease. (Failure to disclose may result in the worker not entitled to work cover)
Availability
Duties/ Responsibilities:
The following is a list of duties/ tasks you may be asked to perform as a companion. Please indicate your ability/ willingness to perform each task
The following is a list of duties/ tasks you may be asked to perform as a companion. Please indicate your ability/ willingness to perform each task
Current work and education
References
Please list 1-3 professional references
Reference 1
Reference 2
Reference 3
Previous employment
Police, working with children check, first aid level 2 certificate and drivers license
All applicants must hold a current clean national police check and working with children check.
If yes, you are required by law to outline the nature and date of the offence(s), other than convictions under commonwealth law that occurred more than ten years ago.

Form Submitted

Form has been submitted successfully.