Application for Employment

required Required fields

Job details:

Position / job number you are applying for:

Referral source:

PaperInternet advertisementFriendOther

Upload your cover letter:

Upload your resume:

Your details:

Title:

Family name: required

Given name: required

Preferred name:

Your contact details:

Email address: required

Current residential address:

Suburb:

State:

Postcode:

At least one contact phone number is required.

Home:

Mobile:

Fax:

Tell us a little about yourself:

Your status, licenses and certifications:

Are you an Australian Citizen?

YesNo

Visa status:

Passport number:

A copy of your passport will be required.

Passport expiry date:

Do you have a license to drive a: required

Manual carAutomatic carBusOther

Driver's license number:

Driver's license state:

Driver's license expiry date:

Driver's license class:

Do you have a reliable car?

YesNo

Which of the following apply to your car?

Third party property, fire and theft insuranceThird party property insuranceComprehensive insuranceCurrent registration

Do you have a current Disability Positive Notice (Yellow) Card? required

YesNo

Disability Positive Notice (Yellow) card number:

Disability Positive Notice (Yellow) card expiry date:

Applicants are required to apply for a Disability Positive Notice prior to starting employment.

Do you have a current Working with Children Check (Blue) Card? required

YesNo

Working with Children Check (Blue) card number:

Working with Children Check (Blue) card expiry date:

Do you have a current first aid certificate? required

YesNo

Please provide a copy of qualification certificates:

Have you previously worked as a Disability Support Worker? required

YesNo

Length of previous experience:

Please provide details of previous experience:

Do you have any qualifications in this field of work? required

TAFE certificate III or IV in Disability StudiesNursingAged Care CertificateOther

Please provide supporting evidence of qualifications or training courses:

Please provide details of qualifications:

Referees:

Nominate two (2) people other than relatives or personal friends.

Referee 1:

Name:

Occupation:

Relationship:

ManagerSupervisorCo-workerOther

Phone:

Mobile:

Referee 2:

Name:

Occupation:

Relationship:

ManagerSupervisorCo-workerOther

Phone:

Mobile:

Key Selection Criteria

Please provide a short written response to the following key selection criteria.

Please note that all key selection criteria fields have a 300 word limit.

1. A demonstrated understanding of person centered planning and family centered practice: required

2. Promote the valued status of people with a disability and have a commitment to the rights of people with a disability and their families: required

3. Ability to identify and implement creative solutions to meet identified client needs: required

4. Have a positive manner that enhances the self-image and social inclusion of the client being supported: required

5. Possess strong interpersonal skills, including the ability to communicate effectively with a range of people and in a variety of situations: required

6. Demonstrate the ability to work independently and take initiative: required

7. Work in a professional and respectful manner and as part of a team: required

Availability:

If you are applying for a shift worker role please indicate with a tick the days and shifts that you are available to work (minimum of three days availability required):

Work days	6:30-9am	9am-3pm	3-6pm	Sleep overs (6pm-9am)
Monday	yes	yes	yes	yes
Tuesday	yes	yes	yes	yes
Wednesday	yes	yes	yes	yes
Thursday	yes	yes	yes	yes
Friday	yes	yes	yes	yes
Saturday	yes	yes	yes	yes
Sunday	yes	yes	yes	yes

Application Checklist:

Have you supplied a copy of your current resume with this application, including:

Letter of application including name, address and contact detailsWritten response to the key selection criteria contained with the Position DescriptionEvidence of qualifications and experienceAny other relevant detailsContact details for a minimum of two referees

Have you obtained and read a position description for the role for which you are applying?

YesNo

Applicant’s Declaration:

Please read the following statements carefully; they constitute the conditions under which you may be employed:

I certify that:

The information I have provided in this application is truthful and accurate.

I have no impediment that will affect my ability to carry out the responsibilities of the supplied Position Description.

I authorise any person who can verify and/or supply additional information to support my application to do so. I understand that this may include reference checks and referee reports.

I understand and agree that:

Any material misrepresentation or deliberate omission of a fact in my application may be justification for refusal of employment, or if employed for immediate termination of employment.

A criminal history check (disability positive notice) is a required part of the employment process at my expense.

I understand that all information concerning Empowered Futures Pty Ltd, its clients and employees, is strictly confidential and any unauthorised disclosure of such information will be regarded as a breach of confidentiality and may result in termination of employment.

I understand that any appointment would include a probationary period.

I understand and agree to the declaration terms outlined above.required

Empowered Futures Empowered Futures - Child & Youth Disability Services Queensland

Current position/s being advertised:

Job application form:

Job details:

Your details:

Your contact details:

Your status, licenses and certifications:

Referees:

Referee 1:

Referee 2:

Key Selection Criteria

Availability:

Application Checklist:

Applicant’s Declaration:

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