What position(s) are you applying for?Support Worker Positions *Community Living Program - Part time (rotating shifts)Community Inclusion Program - Part timeCrosslinks was recommended to me by current staff member: Please indicate your shift availability Monday *DayAfternoonNightNot AvailableTuesday *DayAfternoonNightNot AvailableWednesday *DayAfternoonNightNot AvailableThursday *DayAfternoonNightNot AvailableFriday *DayAfternoonNightNot AvailableSaturday *DayAfternoonNightNot AvailableSunday *DayAfternoonNightNot AvailablePlease provider further information on your availability: Personal DetailsTitle *First Name *Last Name *Email Address *Phone *Address *Suburb *State *Postcode *Date of Birth *Country of Birth *Are you an Australian citizen or permanent resident? *YesNo License & Transport InformationDo you have a current Western Australian driver's license? *YesNoAre you on any provisional plates? *YesNoAre you willing to use your own vehicle for work purposes? *YesNoDo you own a roadworthy vehicle? (will it pass a 100 point safety inspection?) *NOTE: If successful in gaining employment your vehicle will be required to pass a vehicle safety inspection (100 point safety check)YesNoDoes your vehicle have four doors? *YesNoIs your vehicle able to carry three passengers? *YesNoDo you have full comprehensive car insurance? *Proof of insurance is required if you are successful in gaining employmentYesNoHave you ever been disqualified from driving? *YesNoIf yes, please provide details: Certificates & DocumentationDo you have a current First Aid Certificate including CPR? *YesNo, but willing to obtainDo you have a current National Police Clearance? *YesNo, but willing to obtainDo you have any relevant qualifications/certificates? *YesNoIf yes, please list them: General Employment InformationHave you ever worked for Crosslinks? *YesNoIf yes, when? Are you currently working or have you worked for the Western Australian Disability Services Commission (DSC)? *YesNoIf yes, when did your employment end? Have you claimed workers compensation in the last five (5) years? *YesNoIf yes, please provide details: Have you ever been convicted of a felony? *YesNoIf yes, please provide details: Do you have a medical condition that could interfere with your ability to perform the duties of this position? *YesNoIf yes, please provide details: ReferencesPlease list at least two (2) professional references. REFERENCE 1: First Name *Last Name *Relationship *Company *Phone *Address *REFERENCE 2: First Name *Last Name *Relationship *Company *Phone *Address *REFERENCE 3: First Name Last Name Relationship Company Phone Address Previous Employment1.) Company Job Title Start Date End Date Phone Address Please list the responsibilities you had in the above position: May we contact your previous supervisor for a reference? YesNo2.) Company Job Title Start Date End Date Phone Address Please list the responsibilities you had in the above position: May we contact your previous supervisor for a reference? YesNo3.) Company Job Title Text Start Date End Date Phone Address Please list the responsibilities you had in the above position: May we contact your previous supervisor for a reference? YesNo Cover Letter & Resume UploadUpload Cover letter (doc or pdf only): Upload Resume (doc or pdf only): DisclaimerI certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. *I agreeI have read and agree to Crosslink's Privacy Statement *View Privacy StatementI have VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
