Contact details Name(s): Surname: Address: Mobile number: Phone number: Email address: Experience and qualifications Do you have a current Driver's License? YesNo Do you hold a current First Aid Certificate? YesNo Are you willing to obtain a NDIS Worker Check? YesNo Do you have a current Working with Children Check? YesNo Do you hold any relevant Qualification (Certificate III Individual Support, Certificate IV Disability etc)? Yes - please provide details belowI am enrolled - please provide details belowNo - willing to enrol - please provide details belowNo Qualification comments: Attach your resume: Strengths and values What motivates you to work with people with disability? Describe your strengths and skills and why you think you might be suited to work as a Disability Support Worker Can you tell us about your values? Can you tell us about your experience with people with disability? Availability Please tick your availability: Day All day Time available Monday All day Monday Monday time Tuesday All day Tuesday Tuesday time Wednesday All day Wednesday Wednesday time Thursday All day Thursday Thursday time Friday All day Friday Friday time Saturday All day Saturday Saturday time Sunday All day Sunday Sunday time Please leave this field empty.