Interview Form Name* First Last Gender Female Male Unknown Email* Phone*Suburb*Tell me about yourselfQuick Employment Questions* Are you an Australian/ New Zealand Citizen? Select Yes or if No go to the next question. Do you have the right to work in Australia? - If Yes please ask them for a copy of Visa to be emailed straight after the interview. Reliable Car Car Insurance Police Check (must be completed in the last 6 weeks) Working With Children Check First aid Certificate NDIS Worker Screening Check Experience Questions Personal Care Domestic Assistance Meal Prep Social Support/ Shopping/ Transport Wellbeing Check Training Experience Hoisting/ Lifters Manual Handling Dementia/ Alzheimer's Care Brain Injury Care Disability Care Mental Health Autism Experience Down Syndrome Experience Vision Impairment Experience Seizure Experience Peg Feeding Have you ever changed a Catheter Bag? Have you ever changed a Colostomy Bag? FLU Vaccination (not mandatory but highly suggested) Medication Trained (Assist or Administer?) Other Other additional trainingPlease describe what other additional training/ attributes you have.What training and certifications have you completed?Have you completed any training specific to this industry?Do you speak any Languages other than English?What Days are you available? Monday Tuesday Wednesday Thursday Friday Saturday Sunday What Time are you available?e.g 9:00 am - 3:00 pmHow many hours a week would you ideally like to receive?Notes