Candidate Questionnaire

Thank you for considering Community Care TASMANIA for employment. We look forward to receiving your application. To enable us to make an informed decision to progress your application, it is necessary that we can identify that you meet our Mandatory Employment requirements. If you have applied for a Police Check or Working with Vulnerable People card, please supply the application or receipt number as proof. If, you are unsuccessful in being considered or offered a position with our organisation, all of your records and documents provided will be deleted, to ensure the safety of your personal information.

Personal Information

First Name *

Last Name *

Residential Address (House Number & Street) *

Suburb/Town *

State *

Postcode *

Phone (Landline)

Phone (Mobile) *

Email Address *

Gender *

Australian Citizen *

Do you have a Valid Visa

I am willing to undergo pre-employment testing for: *

If employed, I agree to testing for: *

Languages Spoken: *

Are you willing to undertake a Pre Employment Health Questionnaire? *

Yes

No

Cover Letter - please attach

Resume - please attach *

MANDATORY REQUIREMENTS - please attach all requested documents as they are mandatory requirements.

Do you have a current Police Check *

Yes - Please upload

No

Have applied - waiting on Certificate

Receipt Number Receipt Number

Upload Police Check - Mandatory

Do you have a Working with Vulnerable People Card (Tasmanian) *

Yes - Please upload copy

No

Application Number

Upload WWVP Card - Mandatory

Do you have a current Drivers Licence: *

Yes, Tasmanian

Yes, Interstate (Australian)

Yes, International

No

Upload Drivers Licence - Can be supplied at a later date if progressed

Do you have a Current First Aid Certificate and CPR *

Yes

No

Enrolled

Booked Date: Booked Date:

Upload First Aid Certificate - Mandatory

Do you have a minimum Certificate III in *

Individual Support - Ageing

Individual Support - Disability

Individual Support - Community

Community Services

In Progress - Estimated completion date: In Progress - Estimated completion date:

Upload Certificate

Do you hold a valid working Visa? *

not applicable

Yes

Upload Visa - Mandatory

Have you had the Covid Vaccinations? *

not applicable

Yes

Upload Vaccination Certificate

Have you had the Influenza Vaccination? *

not applicable

Yes

Upload Vaccination Certificate

Do you have a Motor Vehicle & Insurance? *

Upload Vehicle Registration Certificate - Mandatory

Upload Insurance Documents - Mandatory

Supporting Questions

Have you had experience in any of the following? *

How long have you worked in this Industry? (in months) *

Are you currently employed elsewhere? *

Tell us a bit about yourself and why you are interested in working in Community based services. *

What do you think it means to provide an excellent service to people at home? *

We provide services to a range of people of all ages and ability. Do you have a particular area of interest eg: Aged Care, Disability, Working with Children, Complex and High Need clients *

Where did you hear about our position or company? *

Availability - this is just to provide us an idea of your current availability.

Monday *

From:

To:

Tuesday *

From:

To:

Wednesday *

From:

To:

Thursday *

From:

To:

Friday *

From:

To:

Saturday *

From:

To:

Sunday *

From:

To:

Given that this is a Casual Position, you may not know how many shifts that you will be offered from week to week. Will you be able to accept shifts that are offered to you within your advised availability? *

Yes

No

Will you be able to manage your personal commitments while also making sure that you are available when CCT asks you to work a shift - sometimes at very short notice? *

Yes

No

Other - please explain: Other - please explain:

How many hours are you hoping to work each week if successful? *

Additional Skills

List any additional skills that you would like to mention.

Privacy Information This form is to register your current availability for employment. It will be stored securely and kept confidential. This information will NOT be provided to anyone else by Community Care TASMANIA.. C:\Users\rozalin\Downloads\Support Worker Candidate Questionnaire (May 2020).docx

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