Please return this application to
First name:
Surname:
Address:
Home phone number:
Mobile phone number:
Email:
Do you have a valid driver’s licence? Yes No
If yes, please bring your driver’s licence to the interview.
Do you have a Working with Children Check? Yes No
If yes, please bring your card to the interview.
It is a condition of employment that you have a Working with Children Check (Employee) or have lodged an application and can provide a receipt prior to commencing employment.
How did you find out about this job vacancy?
Newspaper (if so, which newspaper? ()
Internet (If so, which Internet site? ()
Other Friends
Are you an Australian resident? Yes No
If no, what type of visa do you have?
Please provide a copy of your visa with this application.
Police checks
Applicants should note that all Melbourne City Mission staff are required to undergo a National Police Check prior to appointment. If you do not hold a current police check (less than 6 months old), you will be required to complete a crimcheck form and we will lodge a police check on your behalf.
International Police Checks
If you have lived overseas for 12 months or more in the last ten years, you will need to provide an International Police Check for each overseas country you have lived in for 12 months or more.
During the last ten years, have you lived overseas for 12 months or more?
Yes No
If YES please name the countries you have resided in and period of residency:
In the following table, please indicate the times you are able to work.
This indicates your availability, not your preferred time to work.
7am–3pm / 2pm–10pm / Sleepover(3–10pm, 6–9am) / Active Night
(10pm–9am)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Sleepovers involve staying overnight and sleeping on the premises. You may be required to provide support during the night.
Active night involves working through the night. You are awake for the whole shift.
Note – the times are not indicative of the shifts you will necessarily be working. Each house has different shift start and stop times, the examples above are most common at Melbourne City Mission's Disability Residential Services.
· What interests you about this position?
· What are three skills you believe you would bring to the position?
· How will you make a difference to the lives of people who have a disability?
· What experience have you had supporting people with behaviours of concern? (If you are new to the field just write what you think behaviours of concern means). How do you support a person with behaviours of concern?
Part of the application process for this role will involve assessing your suitability for this position through checking your name against the Disability Worker Exclusion Scheme.
The Disability Worker Exclusion Scheme is managed by the Department of Human Services and is a scheme to collect, store and use information about people who are unsuitable to work with clients in Disability Residential Services. People who are found to be unsuitable are placed on the Disability Worker Exclusion List and are prevented from obtaining employment in Disability residential services with organisations funded or registered by the Department of Human Services.
By submitting a job application for this role, you are consenting to your name being checked against the Disability Worker Exclusion list for assessing your job application. Your name will be checked against the list if you are successful in gaining an interview for this position.
Further information on the Disability Worker Exclusion Scheme can be found through this link:
http://www.dhs.vic.gov.au/about-the-department/plans,-programs-and-projects/projects-and-initiatives/disability-services/disability-worker-exclusion-scheme
Part of the application process for this role may involve assessing your suitability for this position through checking your name against the Disqualified Carer Check register.
TheChildren, Youth and Families Act 2005(the Act) aims to increase protection for children in out-of-home care. The Act also requires the department to keep a register (the Carer Register) of all foster carers, residential carers (including permanent, part-time, casual and temporary agency staff) and providers of services to children at an out-of-home residence. Registered out-of-home care services have authorised access to the Carer Register.
The Act requires that a Disqualified Carer Checkmustbe conducted and clearedpriorto an out-of-home carer being approved, employed or engaged by an out-of-home care service. The servicemustthen register the out-of-home carer on the Carer Register within 14 days.
For further information about the Disqualified Carer Check process or the Carer Register, email the Department of Health and Human Services' Service Outcomes
I acknowledge that I am aware of, understand, and agree to the terms of the Disability Worker Exclusion Scheme and Disqualified Carer Check.
Signature………………………………..
Name:
Date:
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