Staff In-Take Form
Sample form
Staff Details
Name
*
First Name
Middle Name
Last Name
Gender
*
Male
Female
Date of Birth
*
/
Day
/
Month
Year
Date
Phone Number
-
Area Code
Phone Number
Mobile Number
*
Mobile number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State
Post Code
Profiles
Residency Status
*
Australian Citizen
Permanent Resident
Temporary Resident
Work Visa
Others
Nationality
List the Languages that you can speak
List your Certificates
On-going Availability
Please list your availabilities e.g. Monday 8am-5pm, Sunday - Not available
Proposed Start Date
/
Day
/
Month
Year
Date
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Next of Kin / Emergency
Next of Kin Contact Person
First Name
Last Name
Next of Kin Contact Phone Number
-
Area Code
Phone Number
Next of Kin Email
example@example.com
Relationship to the Staff
Others
Additional notes
I confirm that all information given in this form is true, complete, and accurate.
Signature
Clear
Internal Office Use
This section contains checklist for internal office use
DayspringCare Checklist
Create DayspringCare Account
Staff has received DayspringCare Welcome email
Staff has downloaded the app
Staff has read DSC Getting Started and Sign Off videos
Staff is able to login
Staff is able to see roster (if has been assigned)
HR & Accounting
Provided TFN & Superannuation
Setup Payroll
Submit
Print Form
Should be Empty: