Support Worker Application -Crushing Goals

Date

First Name

Last Name

Date of Birth

Address

Phone Number

Do you have a reliable, registered vehicle?

Yes

Do you have a current Driver Licence?

Yes

Do you have a current Working with Children Blue Card?

Yes

Do you have a current Disability Services Yellow Card?

Yes

Do you have a current First Aid certificate?

Yes

Do you have a current CPR certificate?

Yes

Are you fully vaccinated for COVID-19?

Yes

Which qualifications do you have?

Why do you feel you would be suitable for the position of Support Worker? What skills or qualities would you bring to the role?

Have you worked with people with disabilities before?

Yes

If yes, what type of work did you do?

Hobbies & Interests

Have you had experience in providing personal care (eg bathing and toileting children)

Yes

Please provide a written response to the following questions:

What strategies would you use to support a child to build relationships/friendships with others in the community?

What strategies do you feel would be appropriate for a person who has challenging behaviours?

Where did you hear about Crushing Goals?

Please specify available times to work (including overnight).

Please tell us your preference

Full Time Hours

Part Time Hours

Would you be able to provide support to someone at short notice?

Yes

Are you available for sleepover shifts?

Yes

Please list your previous work experience

Last 3 years. Include home duties or similar if no formal work was undertaken.

Employer 1

Employer

Job Title/Role

Employment period

Employer 2

Employer

Job Title/Role

Employment period

Employer 3

Employer

Job Title/Role

Employment period

2 work references (include personal if no work reference available)

Reference 1

Name

Job Title/Role

Phone Number

Reference 2

Name

Job Title/Role

Phone Number

Work Health and Safety

AFH Matthews PTY Ltd T/A Crushing Goals is committed, through effective Work Health and Safety strategies, to providing safe workplaces and ensuring employees are not placed at risk of injury. As part of our obligations under the Work Health and Safety Act, we need to ensure that you can safely perform the tasks that make up the role for which you are applying.

Do you have any medical conditions or previous injuries that could impact on your ability to safely perform tasks in this position?

Yes

If yes, please provide detail below.

Please attach a copy of your resume, cover letter and any other relevant information

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