Expression of Interest - Registered Nurse

PRIVACY NOTICE 
Collection of your personal information: The information in The Disability Trust's application form is collected for the purpose of assessing an applicants suitability for employment with the Organisation. The information will not be disclosed to any third parties without prior consent from the applicant unless the Organisation is obliged or permitted by relevant laws to disclose the Information. 
Disclosure of your personal information: Information will be used for the purpose of the Disability Trust's recruitment processing. The applicant acknowledges that information sent over the internet travels over a public networks and may be seen by third parties. The applicant acknowledges that the Disability Trust accepts no responsibility in the event that this happens. 

Acknowledgement: 
I consent to the Organisation collecting, using and disclosing my personal information in accordance with the statement above. I confirm that all information submitted by me in this application is true and accurate. I understand that any false or misleading information I provide may result in my application being declined. 
Do you consent to the matters contained in the Privacy notice and make the acknowledgement set out above?

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. Date of Birth*
2. AUSTRALIAN CITIZENSHIP OR RESIDENCY STATUS
   
   Are you currently authorised to work in Australia?*

   1. Yes- I am a Citizen
   2. Yes- I am a Permanent Resident
   3. Yes- I hold a Current Working Visa. I am able to provide my visa and passport details
   4. No- I am not authorised to work in Australia
3. Do you have a cleared Working with Children Check (WWCC)?
   If yes, please provide the clearance number and expiry date.*
4. Do you have a current Australian driver's license?*

   1. Yes
   2. No
5. The Disability Trust is committed to ensuring all our employees have a safe working environment. Are you aware of any pre-existing injuries, illnesses, health conditions or circumstances which will affect your ability to carry out the full range of duties of this role ? If yes, please specify:**
6. What is your availability over a weekly period? (Please note: this service is based on a 24/7 service - including morning, afternoon, evening and overnight shifts)*

   1. Monday
   2. Tuesday
   3. Wednesday
   4. Thursday
   5. Friday
   6. Saturday
   7. Sunday
7. At The Disability Trust, the Health and Safety of our employees and participants is our highest priority. For this reason, it is organisational policy for employees to have had at least two (2) doses of a COVID-19 vaccine, unless a valid medical exemption applies. Please confirm if you will and are able to provide evidence of your COVID-19 vaccination to The Disability Trust?

   1. Yes, I am willing to provide evidence of a Covid-19 vaccination
   2. No, I am not willing to provide evidence of Covid-19 vaccination