FUTURE EMPLOYMENT REGISTER
Please use this form to register for future employment with the Hardi Aged Care Group
PERSONAL INFORMATION
Name
email address
Type of work
Assistant in Nursing
Catering / Housekeeping Assistant Cert III
Catering / Housekeeping Assistant
Catering Manager
Certificate III.IV Assistant in Nursing
Clerk I
Clerk II
Clerk III
Clerk IV
Clinical Unit Manager
Diversional Therapist
Diversional Therapy Coordinator
Enrolled Nurse
Assistant / Enrolled Nurse – Bus Outings
Evening Manager
Facility Educator
Facility Manager
Housekeeping Manager
Lifestyle Co-Ordinator
Maintenance Manager
Medication Endorsed Enrolled Nurse
Mobility Nurse
Night Manager
Recreational Activities Officer
Reg Nurse Preserved Rate
Reg Nurse
Unit Team Leader
Weekend Chef
Weekend Day Manager
Date available:
Street Address
Suburb
Postcode
Home phone
Work phone
Date of Birth
Australian Resident?
Yes
No
Do you hold a current Driver's Licence?
Yes
No
Do you hold a current work permit?
Yes
No
EDUCATION
What level of schooling was attained in Australia?
What level of schooling was attained overseas?
What other skills or qualifications have you obtained in Australia or overseas?
(Proof may be required)
DETAILS OF PREVIOUS EMPLOYMENT
Have you worked for the HARDI GROUP before?
Yes
No
If yes please give dates:
OTHER EMPLOYMENT 1
(Most recent position first)
Organisation
Phone
Address
Position Held
Reason for leaving.
What skills or training did you obtain?
OTHER EMPLOYMENT 2
Organisation
Phone
Address
Position Held
Reason for leaving.
What skills or training did you obtain?
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