This information will be used solely for the purposes of your application for employment with Just Better Care. We will never share your personal information with any person or organisation unless we have your written permission to do so, or are required to by law or subpoena.

1. Yes I agree to the privacy statement*

1. Title* Mr Mrs Ms Miss Dr Other
2. First name*
3. 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. Do you have the right to work in Australia?*

   1. Yes - Permanently with no restrictions
   2. Temporarily with no restrictions
   3. Temporarily with restrictions
   4. I require sponsorship
2. Are you fully immunised against COVID-19? *

   1. No but I've had one dose
   2. Yes, two doses
   3. Yes, three doses
   4. No, I am not getting immunised
3. Do you have a current Drivers Licence?*

   1. Yes
   2. No
4. Do you own car or have access to a car on your days of availability? *

   1. Yes - I have my own car
   2. Yes - I have access to a car
   3. No - I do not own or have access to a car
5. Do you have a smart phone with internet access (i.e. iPhone or Android device)?*

   1. Yes
   2. No
6. Do you have the ability to use technology on your phone confidently? *

   1. Yes
   2. Yes, but I may need some assistance
   3. No
7. Do you have a current Federal Police Check?*

   1. Yes
   2. No, I do not currently have this, but I am willing to obtain
   3. No, I do not have a current federal police check
8. Do you have a current Blue and Yellow card? *

   1. Yes
   2. No
9. Do you have a current First Aid (including CPR) Certificate?*

   1. Yes, I have a current first aid certificate
   2. No, I do not have a first aid certificate
   3. No, I do not currently have a first aid certificate, but I am willing to obtain
10. What is your expectation of this role? *
11. What factors do you believe are important in providing exceptional service to customers in the community? *
12. Please provide the specific hours and days of the week which you are available. Please note that we need at least three days of availability Monday - Friday. *
13. Which part of the Gold Coast are you willing to work? Please list either Northern Gold Coast, Central Gold Coast OR the suburbs. *
14. What is your wage expectation? *
15. On average, how many hours per week are you seeking?*

    1. 0-10 hours per week
    2. 10-15 hours per week
    3. 15-20 hours per week
    4. 20-25 hours per week
    5. 25-30 hours per week
    6. 30-35 hours per week
16. If you are successful, when would you be able to start? *
17. Do you have a medical condition that could impair or prevent you from carrying out the duties of the position you are applying for? *

    1. Yes
    2. No

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