Expression of Interest

If you're interested in working with Change Care, fill out the expression of interest form below and we'll get back to you.

TitleGiven Names*Surname*

Country

Address 1*Address 2Suburb*

StatePostal*

Mobile*Email Address*Are you fluent in any languages other than English?YesNoPlease specify what other languages you are fluent inAre you an Australian Citizen/Permanent Resident?YesNoIf not, do you have a valid VISA?YesNoDo you have a vehicle?YesNo

Clearances

Do you have a current National Police Clearance?
YesNoDo you have a current NDIS Worker Screening?YesNoDo you have a current Driver's Licence?YesNo

Legal

Have you ever been charged or convicted of any offense?
YesNoHave you ever recieved any charge of convictions related to a driving offense?YesNoHave you ever resigned or been dismissed from a position because of allegation of theft, dishonesty or unacceptable work practice?YesNoHave you ever been the subject of a disciplinary proceedings by your employer or a governing regulatory authority?YesNo

Medical Information

Section 79 of the Workers compensation and Injury Management Act sets out the following:
Willful and false representation: "where it is provided that the worker has, at the time of seeking or entering employment in respect of which he claims compensation for an injury, willfully and falsely represented himself as not having previously suffered from the injury an arbitrator may in the arbitrators discretion refuse to award compensation which otherwise would be payable"

Are you currently receiving medical treatment for any condition, or taking medication which could affect your work in the position applied for?
YesNo

Qualifications and Training

Please list your qualifications and relevant trainings. Note - Copies of certificates will need to be provided to Change Care if successful.

Service Areas

At Change Care, we provide a variety of services to support our clients in their daily lives, such as personal care and community access available 24/7. Please indicate your preferred work options.

Service TypePersonal Care (ADL)Community ParticipationHigh BehaviourHigh Physical Support

Service LocationsSouth BrisbaneEast BrisbaneLoganGold Coast

Availability

Please provide available hours e.g. 6am-3pm

MondayTuesdayWednesdayThursdayFridaySaturdaySunday

References

Please provide 2 references

Referee 1 NameCompany Name/RelationshipContact NumberContact email

Referee 2 NameCompany Name/RelationshipContact NumberContact email

Please send CV to info@changecare.com.au

I certify that all the above information in this form is true, correct and complete. I acknowledge and consent to Change Care collecting and securely storing the information I have provided. I understand this information will be safely and securely stored in accordance with the Australian Privacy Principles.

Thank you! Your submission has been received!

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