Able Mentor Services — Support Worker Application
Complete this form to apply for a casual Disability Support Worker or Senior Support Worker role, including your availability, clearances, and referee details. stored securely by our form provider (Jotform, US HIPAA-compliant servers) and in our Australian Microsoft 365 tenant
Applicant Details
Role applying for
*
Disability Support Worker (casual)
Senior Support Worker (casual, across three SIL homes)
Either
Type of work you want
*
SIL home shifts
Individual (1:1 in-home and community) supports
Either — happy to do a mix
Full name
*
First Name
Middle Name
Last Name
Mobile phone
*
Please enter a valid phone number.
Format: 0000 000 000.
Email address
*
example@example.com
Your suburb (for travel to Coopers Plains / Wellington Point and surrounds)
Work Rights and Checks
Right to work in Australia
*
Australian citizen
Permanent resident
Visa holder with work rights
Visa type
NDIS Worker Screening Clearance
*
Current
Applied — pending
Not yet
Clearance number (if current)
Working with Children Check (Blue Card)
*
Current
No
Licences, Certifications, and Qualifications
First Aid (HLTAID011) expiry date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
CPR (HLTAID009) expiry date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Do you hold an open Queensland driver licence?
*
Yes
No
Do you have a reliable, comprehensively insured vehicle and are you willing to transport the people you support?
*
Yes
No
Have you completed the NDIS Worker Orientation Module (Quality, Safety and You)?
*
Yes
No
Qualifications
Certificate III in Individual Support
Certificate IV in Disability
Diploma of Community Services
None yet
Other
Experience and Availability
Disability support experience
*
Please Select
None yet
Under 1 year
1–2 years
2–5 years
5+ years
Tell us where you've worked and in what settings (SIL, community, aged care, mental health etc.)
*
Please answer in your own words — we'll ask you to talk through your examples at interview.
Experience implementing behaviour support plans / restrictive practice reporting
*
Yes
No
Briefly describe
Please answer in your own words — we'll ask you to talk through your examples at interview.
Availability
*
Rows
Morning
Afternoon-Evening
Sleepover
Active night
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Which of these can you commit to regularly?
*
Weekday mornings
Weekday afternoons/evenings
Weekends
Sleepovers or active nights
Minimum number of shifts per week you can commit to
*
Please Select
1–2
3–4
5+
Do you currently work for another disability provider or employer?
*
No
Yes
If yes, roughly how many hours per week, and on which days?
Can you take varied shifts week to week (a mix of mornings, afternoons, weekends and sleepovers or active nights) to meet the needs of the people we support?
*
Yes
No
Earliest start date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Application Questions, Resume, and References
Tell us about a time you supported someone to make a choice you didn't agree with. What did you do?
*
Please answer in your own words — we'll ask you to talk through your examples at interview.
Referee 1 name
*
Referee 1 role
*
Referee 1 relationship to you
*
Referee 1 phone
*
Please enter a valid phone number.
Format: 0000 000 000.
Referee 2 name
*
Referee 2 role
*
Referee 2 relationship to you
*
Referee 2 phone
*
Please enter a valid phone number.
Format: 0000 000 000.
Screening tier
Screening flags
Today
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Screening score
Availability count
CPR days
FA days
Declaration
*
I confirm the information in this application is true and complete, and I consent to Able Mentor Services contacting my referees and verifying my clearances.
Upload your résumé (PDF or Word)
*
Upload a File
Drag and drop files here
Choose a file
If you have a current résumé, attach it here so we have it before your interview. PDF or Word, up to 10 MB.
Cancel
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How long does it take you to drive to Wellington Point?
*
Under 20 minutes
20–35 minutes
35–50 minutes
More than 50 minutes
Submit application
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