Applicant Information

First Name *

Last Name *

Date of Birth *

Mobile Number *

Email Address *

Please add a profile picture - just to put a face to the name.

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Make sure people will be able to recognise you by choosing a photo of yourself which is clear, centered and unfiltered.

Please attach your Resume/Cover letter *

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Understanding your work status *

I am an Australian CitizenI am a New Zealand CitizenI am a Permanent ResidentMy Visa gives me the right to work in Australia

How many hours of work per week are you looking for? *

0 - 5 hours6 - 10 hours 11 - 15 hours 16 - 20 hours 21 - 25 hours 26 - 30 hours 30+ hours

Identification

Which Identification documents do you have? *

Medicare CardPassportBirth CertificateCitizenship Certificate

Please attach the relevant documents you have selected *

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Compliance Check

NDIS Worker Screening Clearance and Blue Card/Yellow Card

NDIS Worker Screening Check - Must be a 'P' (Paid) card not 'V' (Voluntary)

Attach copy of current NDIS Worker Screening Check/Yellow Card

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If you are currently applying for a card please add Application ID

Working with Children Card

Do you hold a current Working with Children's Card/Blue Card? *

Yes - Great! Please upload a copy of your Blue Card No - Please apply for your blue card

(If you are applying for a blue card and NDIS Worker screening together, you only pay one fee).  

https://my.bluecard.qld.gov.au/login

Attach copy of current Blue Card *

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NDIS Training Modules, First Aid/CPR and Transport

NDIS Training Modules

If answered NO - Please complete the below Online Training Modules.   

• There are 4 modules to complete, each take approximately 25 minutes.  

• Completion of the module will take no more than 90 minutes.    

• You can save, exit and return to the module at any time.    

• Upon completion, you will receive a certificate.  

• Click on https://training.ndiscommission.gov.au/ - You will see the screen below    

• Please click on the link titled NDIS Worker Orientation Module   

• It will ask you to register if this is your first time   

• You will also need to complete New Worker NDIS Module.    

Attach Training Modules Completed Certificate *

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Do you have a current First Aid & CPR? *

YESNOI Have A Current First Aid OnlyI Have A Current CPR Only

Attach Current First Aid and/or CPR Certificates

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Do you have a Medication Management Assisting Clients Certificate? *

YESNO

Attach Medication Management Assisting Clients Certificate *

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Do you have your own reliable transport? *

Yes No

Attach current Drivers Licence *

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Do you have Comprehensive Car Insurance *

YESNO

If "YES" please attach a copy of your Insurance Cover *

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Please enter your Car Registration Number below *

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Do you have a Certificate III in Disability Support? *

YESNO

If "YES, please attach your Cert III in Disability Support here

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Do you have a Certificate IV in Individual Support? *

YESNO

If "YES, please attach your Cert IV in Individual Support here

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Availability

When are you typically available for work? (The more specific you can be with your availability, the easier it is for a person seeking support to decide if they'd like to book you)

I have general availability I have specific availability

Please fill out the availability questionnaire below.

What type of work are you looking for? *

Ongoing Occasional

Monday Availability *

Tuesday Availability *

Wednesday Availability *

Thursday Availability *

Friday Availability *

Saturday Availability *

Sunday Availability *

If you are only available in very specific times, please explain specifically when you can offer support.

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