Support Worker Application Form

Leave this field blank

First Name

Last Name

Pronoun She/HerThey/ThemHe/Him

Email

Phone

Suburb or town

State Select a StateACTNSWNTQLDSATASVICWA

What is your NDIS Worker Screening number?

If you don't have an NDIS Worker Screening number, please write "I do not have"

Select all relevant qualifications you have: First Aid Level 2, in date (or higher)Cert IV in Disability (or higher)Cert III in Community Services (or higher)Current drivers license, including valid registrationFull comprehensive third-party car insurance

Other (please state)

Do you have an Auslan certification or fluent Auslan skills? I am fluent in AuslanI have a tertiary certification is AuslanI have undergone Auslan classesI do not know Auslan

Do you have previous support work experience?

Can you describe a time in either a previous job, or a previous workplace, where you face a dilemma, and you feel you handled it well? What did you learn from this?

Can you describe a time in either a previous job, or a previous workplace, where you face a dilemma, and you feel you could have handled it better? What did you learn from this?

Please upload a copy of your CV here:

Submit