Employment Application Form

Applicant Information

First Name

Last Name

Email

Contact Phone Number

Position Applying For

Qualifications

Please attach your resume *

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Please attach proof of your mandatory vaccination status. COVID-19 x three doses and current influenza immunisation. *

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Homestead (Residential)Community Care

Are you an Australian citizen? *

YesNo

Are you authorised to work in Australia ? *

YesNo

Have you ever been a citizen of another country, other than Australia, since turning 16 years of age? *

YesNo

Have you ever been convicted of a serious crime? *

YesNo

Availability to Work

Please indicate what days and times you are available to work.

Homestead

MorningsEveningsNights

Pre-employment Functional Assessment / National Criminal History Record Check / Working With Children Check / NDIS

I acknowledge that to be considered for a position at Westmont, if I am the successful applicant I will be required to undertake and pass a pre-employment functional assessment performed by a professional nominated by Westmont and at Westmont’s expense.

Westmont is ensuring that the successful applicant is physically capable of performing the duties as outlined in the relevant Position Description.

I acknowledge that appointment is subject to a satisfactory National Criminal History Record Check.

I also acknowledge that a Working With Children Check/NDIS will be required for my position and that I am responsible for the associated costs of these checks.

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may lead to employment offer being recinded.

Signature

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Date

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