Application Form – Mackellar Care Services Limited

Personal Information
Name*
First Last
Address*
Street Address Suburb State Post Code Country
Email*
Phone*
Role Selection (part 1)
Which departments are you interested in?*
- Care Services
- Support Services
- Administration
Care Services*
Hold CTRL and Click to select multiple departments
Support Services*
Hold CTRL and Click to select multiple departments
Administration*
Hold CTRL and Click to select multiple departments
Emergency Contact Information
Name*
Relationship*
Phone number*
Mobile

Previous Employment
Please provide your work experience details in chronological order, commencing with your most recently held position (or attach resume in supporting documents section)
Employer Position Held From To Reason for leaving
Relevant Education/Qualifications
Please provide details of relevant educational qualifications (or attach resume in supporting documents section)
Qualification Attained Institution Year
Do you have any additional skills that may be relevant to the position being applied for?
Examples include experience with specific computer applications, physical skills, additional training.
Would you be interested in attaining further qualifications?*
- Yes
- No
If yes, please provide details*
Do you hold a current Australian drivers licence?*
- Yes
- No
Licence Number*
Class Type*

Employment Referees
Please provide three recent workplace referees that had a direct supervisory or management relationship to a previous role. One referee must be from your current or previous employer.
Referee One
Name Phone Number Company Role
Referee Two
Name Phone Number Company Role
Referee Three
Name Phone Number Company Role
Are you willing for us to contact your referees?*
- Yes
- No

Availability
Date available to commence*
Are there any days you are unable to work?*
- Yes
- No
If yes, please provide details*
Do you know of any reason why, if appointed, you would be unable to attend regularly for work?*
- Yes
- No
If yes, please provide details*

Fit for work
Have you had any past injuries, accidents, operations?*
- Yes
- No
If yes, please provide details*
Do you have physical restrictions, which would prevent you from carrying out the functions of the role you have applied for?*
- Yes
- No
If yes, please give details, including past injuries and/or accidents.*
Are you the subject of any criminal charge(s) still pending before a court, or have you been the subject of criminal convictions or finding(s) of guilt before a court, which are not “pardoned”, quashed or spent convictions under legislation?*
- Yes
- No
If yes, please provide details*

Role Selection (part 2)
Why do you wish to apply for this position?*
What do you know about our organisation?*
Have you previously worked for this company?*
- Yes
- No
If yes, please provide details of the employment dates and your role.*

Supporting Documents
Please submit your resume and cover letter only

If you successfully progress to the next stage of recruitment, we will request further documents; including but not limited to evidence of education, drivers licence or birth certificate, etc. Do not submit this information now.
Resume and Cover Letter Upload
Drop files here or

Accepted file types: doc, docx, rtl, pdf.
Accepted formats: .doc, .docx, .rtl, .pdf

Conditions associated with this application
The referees listed have been advised that they have been nominated to support this application and I consent to them being contacted in regard to this application.

I am aware that I may have to undergo several screening processes to ascertain my suitability, including:
• National Criminal History Record Check (Police Check)
• Work Rights Status Check (eligibility to work in Australia)

I acknowledge that Mackellar Care Services will release information on this application form to nominated individuals participating in the recruitment and selection process. I am also aware that under the Privacy Act 1998 and Privacy and Personal Information Protection Act 1998 Mackellar Care Services will take all reasonable steps to protect this information.
Conditions of employment
Mackellar Care is a smoke-free workplace. Smoking is not permitted in any buildings, company cars, grounds or carparks. Smoking is discouraged in surrounding environments, ie. parks next to workplace buildings, footpaths directly outside grounds.

As part of the selection/recruitment process, candidates may be required to participate in a pre-employment medical examination or functional assessment.

Employment is offered with this facility under the terms and conditions of:
• The relevant industrial instrument
• The policies/practices of the organisation
• The Staff Handbook.
Declaration
I have read and understood the above conditions of employment and the conditions associated with this application. . Furthermore, the information stated on my application for employment is true and correct to the best of my knowledge and belief. I am aware that any false or inaccurate information given by me may prevent my employment, or be the cause for my dismissal.

Required attachments:
• Copy of Current Practising Certificate (if applicable)
• Copy of Qualifications/Certificates/Special Licences
• Copy of Visa/Work Permit Number (if applicable)

I understand that all employees are required to have a National Criminal History Record check undertaken prior to employment.
Acknowledgement*
- Yes, i have read and understood the above conditions of employment and conditions of employment
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Email
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General Application Form

Step 1 of 9

Personal Information

Role Selection (part 1)

Emergency Contact Information

Previous Employment

Relevant Education/Qualifications

Employment Referees

Availability

Fit for work

Role Selection (part 2)

Requirements

Supporting Documents

Conditions associated with this application

Conditions of employment

Declaration