Candidate Pre-Screen Form Question Title * 1. Personal Information Candidate Name: Screened by: Telephone: E-mail: Suburb: How did you hear about us? Question Title * 2. Drivers License Number Question Title * 3. Car (can fit wheelchair) Make Model Insurance Question Title * 4. Relevant Qualifications Federal Police Check Working with children check – Blue Card Yellow Card First Aid certificate Certificate III Aged Care Certificate III Disability Flu Vaccination Question Title * 5. Other certificates of Relevance If Police check is not in the last 3 months, the applicant will need to reapply.Direct them to our website JOIN OUR TEAM for links to do them. Background : Question Title * 6. Tell me about your background: Must have 12 months’ minimum experience to be eligible to work with us Question Title * 7. Are you an Australian Citizen? Yes No Question Title * 8. Why do you enjoy this kind of work? (look for behavior that demonstrates that this person will be a great carer) Question Title * 9. What is your availability for work? How much notice would you require for a Service? Question Title * 10. How far are you willing to travel for 1 hours work? Question Title * 11. What are the minimum and maximum hours you are looking for per week? Question Title * 12. Per Week Minimum Hours Maximum Hours Question Title * 13. What shifts can you work? Day Shift Night Shift Weekends Sleep over Question Title * 14. Any Restrictions? DOMESTIC ASSISTANT (skill on DS) Question Title * 15. Domestic Assistance Will Do Will Not Do Question Title * 16. Squalor Clean Will Do Will not Do Question Title * 17. Transport Will Do Will not Do Question Title * 18. Access to the Community – Social Support Will Do Will not Do Question Title * 19. Access to the Community – Shopping Will Do Will not Do Question Title * 20. Food Preparation Will Do Will not Do Question Title * 21. Welfare Checks Will Do Will not Do CERTIFICATE III AGED CARE Question Title * 22. Assist with Dressings Will Do Will not Do Question Title * 23. Respite Care Will Do Will not Do Question Title * 24. Personal Care Will Do Will not Do CERTIFICATE III DISABILITY Question Title * 25. Assist with Dressings Will Do Will not Do Question Title * 26. Respite Care Will Do Will not Do Question Title * 27. Sleep overs Will Do Will not Do Question Title * 28. Personal Care Will Do Will not Do Question Title * 29. High Care Needs Will Do Will not Do Question Title * 30. Medium Care Needs Will Do Will not Do Question Title * 31. Where are you up to in your job search/ who are you registered with? Question Title * 32. Are there any medical conditions we should be made aware of? Question Title * 33. Have you ever been convicted of a criminal offence? Question Title * 34. Do you have access to a computer and internet to start your application on-line? Explainapplication process. Thank them for their time and look forward to hearing from them when they have completed the process. Done
