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 SAR, CHINA 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 MACAU SAR, CHINA 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. Do you have a current employee NSW Working with Children Check? *

   1. Yes
   2. No
2. CatholicCare Wollongong is a child-safe organisation. What is your understanding of what is meant by this?*
3. Do you have a current driver's licence?*

   1. Yes
   2. No
4. Our core values of Dignity, Integrity, Compassion, Excellence, and Solidarity represent who we are and what we expect of one another. Please choose one core value and explain how you demonstrate this value in your work.*
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.
   
   Are you proficient in another language other than English?*
6. 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? *
7. 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.*
8. Are you willing to undertake a National Criminal History Check?*

   1. Yes
   2. No
9. How did you hear about this position?* Seek Indeed Facebook/Social Media Career's website LinkedIn Referred by Friend/Family
10. If you selected Referred by Friend/ Family, please advise the first name and last name of this person and their current position if known*
11. 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?*
12. Would you be willing to undertake a pre-employment medical check (if required)? *

    1. Yes
    2. No
13. If you were successful in obtaining a position with us, what is your availability for work? In other words, what days and times can you work. *
14. 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, and Email address (please note we do not contact referees by phone usually):*
15. 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.

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