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APPLICATION FORM

  • Surname
  • Given Names
  • Have you had any experience in the aged care inductry?
  • Yes
  • No
  • Fitness - Are you aware of any injury or ilness that would adversely affect the performance of youu proposed duties?
  • Yes
  • No
  • Smoking - Southern Cross Care promotes a smoke free environment. Will you have a problem complying with this requirement?
  • Yes
  • No
  • Are you an Australia citizen / resident? if yes, what from of identification can you provide?
  • Passport
  • Birth Certificate
  • Citizen Papers
  • If no
  • do you hold a Visa entitling you to work in Australia?
  • Police security Clearance - Federal Police clearance must be attained prior to employment and your expense. Any future charges or convictions that could potentially affect your role within Southern Cross care (Broken Hill) Ltd. must be deisclosed.
  • Future education and Training - Are you prepared to undertake further training and development while employed by Southern Cross care (Broken Hill) Ltd. to meet the organisation's current and future skill requirements?
  • Yes
  • No
  • Hours of Work - please indicate which of the following you are willing to work
  • Casual
  • Part time
  • Full time
  • Shift work
  • Weekends when required
  • Overtime
  • Probationary Period
  • i undertsand and Sgree that if i am offered employment it is subject to a conditional period of six months.
  • During the conditional period Southern Cross Care will ensure I am adequately trained in accordance with the position description and my performance will be reviewed.
  • I Agree
  • Conditions of Employment - If I am Successful in Gaining employment I accept there may be variations to my:
  • * working location (transfer within the site or from one site to another site)
  • * Starting and finishing times may alter
  • Position description may change
  • These changes, if required, will be made in conjunction with the provisions of the applicable award or agreement
  • Confidentiality - If i am successful in gaining employment with Southern Cross crae I may be exposed to confidential infromation. I Understand that this information must be kept confidential by me both during and after employment with the company.
  • without limitation this may include business plans etc.
  • I agree with the conditions of employment as stated above
  • Personal Details - For our records we nee dyou to provide the following information
  • Contact in case of an emergency

SUBMIT APPLICATION