Support Worker Application Form

Personal Details

Given Names

Surnamerequired

Address

Country

Address 1

Address 2

Suburb

State

Postal

Mobilerequired

Emailrequired

Are you fluent in any languages other than English?

Yes

Please specify what other languages you are fluent in

Are you an Australian Citizen/Permanent Resident?

Yes

If not, do you have a valid VISA?

Yes

Clearances

Do you have a current National Police Clearance?

Yes

Do you have a current NDIS Worker Screening?

Yes

Do you have a current Driver's Licence?

Yes

Qualifications and Training

Please note - Copies of certificates will need to be provided to Lighthouse Disability if successful.

Do you have a Certificate III in Disability?

Yes

In Progress

Do you have a Certificate III in Home & Community Care?

Yes

In progress

Do you have a Certificate III in Individual Support?

Yes

In Progress

Do you have a Provide First Aid Certificate - HLTAID003?

Yes

Do you have Provide Cardiopulmonary Resuscitation (CPR) Certificate - HLTAID001?

Yes

Have you completed any of the following training?

Service Areas

Lighthouse Disability provide a range of supports to our clients to assist in their daily life including personal are and accessing the community across the Northern and North Eastern suburbs 24hrs 7 days. Please tick your work preferences.

Service Type

Personal Care (ADL)

Community Participation

High Behaviour

High Physical Support

Availability

What days and times are you available?required

	Sleepover	Active Night	6am - 3pm	3pm - 10pm	Other
Monday	monday sleep	monday night	monday 6am	monday 3pm	monday other
Tuesday	tuesday sleep	tuesday night	tuesday 6am	tuesday 3pm	tuesday other
Wednesday	wednesday sleep	wednesday night	wednesday 6am	wednesday 3pm	wednesday other
Thursday	thursday sleep	thursday night	thursday 6am	thursday 3pm	thursday other
Friday	friday sleep	friday night	friday 6am	friday 3pm	friday other
Saturday	saturday sleep	saturday night	saturday 6am	saturday 3pm	saturday other
Sunday	sunday sleep	sunday night	sunday 6am	sunday 3pm	sunday other

What days are you available to work? - LEGACY

What times are you available to work? - LEGACY

Sleepover

Active Night

Between 6am and 3pm

Between 3pm and 10pm

Upload a current version of your Resume/CV

“Lighthouse Disability staff are all amazingly dedicated and our family appreciate all that the team do.”

Madeleine, Sister of a Client

“Lighthouse Disability is a great place to work. It’s been clear since day one that the focus is always on the person that we are supporting.”

Nick, Staff Member

“Let me commend the Lighthouse Disability staff for the exemplary work that they do and for how well they interact with the clients.”

Angela, External Provider

“Lighthouse Disability is a positive organisation to be part of. They make my life easier.”

Gerry, Client

“Lighthouse Disability have some amazing staff and I wish to thank them for their dedication and support.”

Gill, Parent of a Client

— Gill, Parent of a Client

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Expression of Interest - Community Support Worker Roles