Personal Care Assistants - Caulfield North

Please read the Colbrow Group Privacy Policy and Privacy Collection & Consent Notice, and ensure that you have understood each of the statements and voluntarily consent to : 

• personal and sensitive information about yourself being collected by Colbrow as indicated in the Privacy Policy and Collection & Consent Notice;
• personal and sensitive information about yourself being used by Colbrow as indicated in the Privacy Policy and Collection & Consent Notice;
• personal and sensitive information about yourself being disclosed by Colbrow as indicated in the Privacy Policy and Collection & Consent Notice.

By submitting this application, you have consented to the above. If you have concerns about agreeing to these terms, please contact us before proceeding with your application.

1. Yes I agree to the privacy statement*

1. Title* Mr Mrs Ms Miss Dr Other
2. First name*
3. Last name*

1. E-mail*
2. Phone*
3. Mobile*

1. Street*
2. Street Cont.
3. City, Town or Suburb*
4. Postcode or Zipcode*
5. Country* AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BRAZIL BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE INTERNATIONAL OTHER Unknown
6. State, Region or Province*Please choose...

1. Gender Male Female Unspecified

1. Are you interested in working in Home and Community Care?*

   1. Yes
   2. No
2. What is your current Residency Status?*

   1. Australian Citizen
   2. Permanent Resident
   3. Temporary Resident with Working Rights
   4. I do not have the right to work in Australia
3. What is the highest qualification you have attained in this field?*

   1. Bachelor of Nursing
   2. Diploma of Nursing
   3. Certificate IV
   4. Certificate III
   5. Nursing Student
   6. Currently enrolled to obtain Certificate
   7. None
4. How much paid experience do you have in this industry?*

   1. Under 6 months
   2. 6 months to 1 year
   3. Between 1 - 3 years
   4. 3 years or more
5. What Drivers Licence do you currently hold? *

   1. Victorian
   2. Other Australian State
   3. International
   4. Learners Permit
   5. I do not have a licence
6. Do you have access to your own reliable transportation to get you to, from, and in-between shifts?*

   1. Yes - I have my own car
   2. Yes - I have access to a car
   3. No - I don't own my own car or have access to one
   4. No - I use public transport
7. Do you have any health conditions that may affect your ability to perform the duties required by this role*

   1. Yes
   2. No
8. If the above answer is yes, please provide details.*
9. Have you previously submitted a work cover claim?

   1. Yes
   2. No
10. If the above answer is yes, please provide details.
11. All successful candidates are required to obtain a Current Employment Police Check (that has been completed in the past 12 months) A Current Employment Working With Children Check and if applicable an International Police Check. These checks will incur a cost. Are you happy to proceed with your application, and obtain these checks if successful?

    1. Yes
    2. No