Job Application Form BSC - Disability Support Services

Job Application Form

If you need assistance with the form please call Admin at 84631333 or email us at [email protected]

Applicant Details:

Name

Date of Birth

Mobile Number

Address

Home_Phone

Driver Licence No

Qualification or Skills

Your shift availability (Mon - Sunday)

Do you have any allergies?

Languages spoken

Certificate / Courses Attended

Emergency Contact Name

Emergency Contact Number

Referee Name 1 (Character referee)

Referee 1 contact Number

Referee Name 2 (workplace referee)

Referee 2 Contact Number

Referee Name 3

Referee 3 contact Number

Please Read Carefully

I authorise and consent to Blu Sky Care contacting my previous employers and referees at any stage of the recruitment process. I recognise that reference checks do not mean I am guaranteed a position with Blu Sky Care.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand, also, that I am required to abide by all rules and regulations of Blu Sky Care.
I understand and agree that if employed, employment will be “AT WILL.” That is, either I or the employer may end the employment relationship at any time, for any reason, or for no reason. I understand that receipt of this application does not imply employment and that this application and/or any other documents are not contracts of employment.

Applicant Signature

Date

Certificate verification

Blu Sky Care requires to sight all original copies of qualifications, certificates and Police Clearances. Kindly make arrangements to arrange for this.

Please Provide Your Bank Details

Bank

BSB

Account Number

Tax File Number

Superannuation Name

Superannuation Number

Have you ever been charged or convicted of any offence?

Yes No

If yes please provide details

Have you received any charges or convictions related to driving offences

Yes No

If yes, please provide driving offences details

Have you ever resigned or been dismissed from a position because of allegations of theft, dishonesty or unacceptable work practice?

Yes No

If yes, please provide further details

Have you ever made a Workers Compensation Claim?

Yes No

If yes, please provide further details

Have you ever injured yourself at work, or received, or are currently receiving payment in relation to any illness or injury suffered by you?

Yes No

If yes, please provide further details

Are you currently receiving medical treatment for any condition, or taking medication which could affect your work in the position applied for?

Yes No

If yes, please provide further details

For you application process, please go through the checklist and forward to us via email ([email protected]) the following:

Resume Current Driver's Licence or other valid ID DHS Disability Employment Check DHS Working with Children Check Any other files to support your application DHS Worker Sceening NDIS Orientation Module Certificate

Declaration

I certify that all the above information in this form is true, correct, and complete.

Signature

Date