Community Support Workers - Kiama, Shellharbour Area & Batemans Bay

The information on this form is being collected by CatholicCare for the purpose of administering the recruitment process.  Your personal information will be used by CatholicCare to contact you about your application. This information will be stored in CatholicCare's electronic records management system.  You may apply to CatholicCare to access and correct this information. See CatholicCare's Privacy Policy (available on the website). Go to About Us then Information for Clients.

1. Yes I agree to the privacy statement*

1. First name*
2. Last name*

1. E-mail*
2. Phone*

   Digits only or add + for international numbers

1. Street*
2. Street Cont.
3. City, Town or Suburb*
4. Postcode or Zipcode*
5. Country*Please choose... AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BRAZIL BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE INTERNATIONAL OTHER Unknown
6. State, Region or Province*Please choose...

1. LinkedIn URL

   (Please click on your profile and copy the URL from your profile page.)

1. What is your current residency status?*

   1. Australian Citizen
   2. Visa
2. Are you eligible to work in Australia?*

   1. Yes (inc. permanent resident or citizen of New Zealand passport holder)
   2. No
3. Do you have a current employee NSW Working with Children Check? If so, please provide the number below.*
4. Do you identify as Aboriginal or Torres Strait Islander origin?*

   1. Aboriginal
   2. Torres Strait Islander
   3. No
5. People from culturally diverse backgrounds bring enormous strengths to our organisation. CatholicCare is committed to equal opportunity in employment, and encourages applications from Aboriginal and Torres Strait Islander people, people with a disability and people from culturally diverse backgrounds. Our work practices consider the needs of our clients and employees from diverse backgrounds, and we provide training and encouragement to staff.
   
   Are you proficient in another language other than English?*
6. Which area are you able to work in? Please tick all that apply.*

   1. Kiama
   2. Shellharbour Area
   3. Batemans Bay
   4. I can work across all locations listed above
7. Are you willing to undertake a National Criminal History Check?*

   1. Yes
   2. No
8. Do you have an NDIS Worker Check? If so, please include the number.*
9. Do you have a current Working with Children Check?*

   1. Yes
   2. No
10. Do you have a current drivers licence and car insurance?*

    1. Yes
    2. No
11. CatholicCare is committed to providing an accessible, safe and inclusive workplace for all. To help us identify and support people from diverse groups, please state if you require any support or additional assistance during the recruitment process.*
12. Do you have a medical condition or injury that may impact on your capacity to carry out the inherent requirements of the role for which you are applying for?*
13. CatholicCare is committed to providing reasonable adjustments and changes to the work environment that allow people with a disability to work safely and productively. Are you aware of any conditions that could hinder your ability to perform the inherent job requirements and demands of this position? If so, what adjustments do you require? *
14. Do you have Certificate III in a Care related field? *

    1. Yes
    2. No
    3. Working towards
15. Do you have a current First Aid Certificate?*

    1. Yes
    2. No
16. How did you hear about this position?*

    1. Seek.com
    2. Facebook/ Social Media
    3. LinkedIn
    4. Referred by Friend/ Family
17. If you selected Referred by Friend/ Family, please advise the first name and last name of this person and their current position.
18. Please provide names of two referees. They should be people that you have directly reported to in the workplace (current or previous employment). We do not contact referees until after the interview stage.
    
    Provide their Name, Position, Organisation, Phone number and Email address if possible:*
19. I declare that to the best of my knowledge the above information and that submitted in accompanying document(s) is correct. *

    1. I understand and agree to the above.