Personal Information

Email *

Name

First name *

Last name *

Birthdate *

Phone Number *

Address

Street Address *

Street Address Line 2

City *

State / Province *

Postal / Zip Code

Pre Employment Suitability Questions

I Have The Following Certificates to Work in This Role *

Select a Option

Are you Familiar and Respectful of Participants that are Part of The LGBTQIA+ Community And Use Pronouns? *

Yes

No

Please Select The Shifts you’re Available to Work *

Select a Option

Which Disabilities Do you Have Experience Working With ? *

What are your Hobbies ? *

Do you have any Allergies to Cats? *

Are you comfortable Performing Personal Care Tasks ,such as Showering ,Shaving, Applying Makeup , Toileting for the clients that require it ? *

Yes

No

Are you Comfortable with Wearing PPE for the Clients that Require it ? (ie Face Mask & Gloves ) *

Please tell us about a time you had a difficult situation, how you handled it, how you learned from it , and what you would do differently next time ,Please provide as much detail as possible in your Response. *

References

Please list atleast two (2) references that are familiar with your work life.

Reference

Name *

Title *

Relationship *

Email *

Phone Number *

Requirements

Resume *

No Choosen File

(Max 2 MB)

Training And Certifications -Please Provide Copies of All Documents *

No Choosen File

(Max 2 MB)

Drivers License/Passport /NDIS Screening Check/Covid /Flu Vaccinations *

No Choosen File

(Max 2 MB)

How were you referred to us?

Referral

Facebook

Other (Please specify)

Other *