Phone Interview
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Date of Phone Interview
-
Month
-
Day
Year
Date
Gender
Male
Female
Other
Location
Date of Birth
-
Month
-
Day
Year
Date
Do you have an Australian Drivers Licence
Yes
No
International
Do you have your own car?
Yes
No
Do you have car insurance?
Yes
No
Do you have Third Party or Full Comprehensive
Third Party
Full Comprehensive
Which of the following cards and certifications do you hold?
Blue Card
Yellow Card
First Aid Certificate
CPR Certificate
National Police Check
Are you an Australian Citizen/Resident?
Yes
No
If no, details of Nationality/Visa below:
Are you currently studying?
Yes
No
If so, what are you studying?
What Qualifications do you hold?
How far are you willing to travel?
What is your expected base rate per hour?
How many hours do you wish to gain per week?
If accepted, when would you be able to start?
-
Month
-
Day
Year
Date
Are you able to do Sleepover shifts?
Yes
No
If so, how many are you willing to do in a week?
Are you able to do Active Night shifts?
Yes
No
If so, how many are you willing to do in a week?
What days are you available?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hours of availability
Do you have experience with:
Disability Support
Aged Care
Youth Work
ABI (Acquired Brain Injuries)
Cerebral Palsy
Down Syndrome
Autism - Challenging Behaviours
Mental Health
Care Plans
PEG Feeding
Manual Handling (Hoist Trained)
Personal Care
Administration of Medication
Food Hygiene/Handling/Preparation
Interviewer
Adequacy AX
Somewhat Satisfied
Satisfied
Very Satisfied
Confirmed Resume Details Verbally
1
2
3
Verbal Communication
4
5
6
Availability and Pay Expectations Suits Role
7
8
9
Employ-ability Skills
10
11
12
Overall Outcome
13
14
15
Submit
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