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Job Title


Community Disability Support Worker


Company : JotForm Inc


Location : Melbourne, Australia


Created : 2025-05-03


Job Type : Full Time


Job Description

Thank you for your interest in working with Extended Families Australia. Please complete this form to apply for the LinC Inclusion Support Worker position. The form will provide us with the key information we require to assess your application. Please remember to include your resume by uploading it when requested.40 Questions1Extended Families welcomes the rich diversity of our community and strives to be inclusive for all. As an equal opportunity employer, we promote social inclusion and encourage applications from people with disabilities, Aboriginal and Torres Strait Islander people, those from all cultural backgrounds, and people from the LGBTIQ+ community.Extended Families wholeheartedly commits to creating a culturally safe environment that honours and empowers Aboriginal and Torres Strait Islander children and adults, actively opposes racism, and ensures their full participation and well-being within our organisation. We acknowledge Aboriginal and Torres Strait Islander peoples as the first inhabitants of this nation and the Traditional Custodians of the lands where we live, learn and work.Extended Families is committed to ensuring the safety, wellbeing, and empowerment of all children. Discrimination is not tolerated, and we treat every child with dignity and respect.PressEnter2Full Legal Name: * This field is required. First Name Middle Name Last NamePressEnter3Preferred Name:PressEnter4Pronouns:PressEnter5Email address: * This field is required.PressEnter6Current Residential Address: * This field is required. Street Address Street Address Line 2 City State / Province Postal / Zip Code AustraliaPlease SelectAfghanistan...OtherCountryPressEnter7Phone Number: * This field is required.PressEnter8Date of birth / Date Day Month YearPressEnter9How did you hear about this position? Extended Families'' Website Indeed University University Expo Instagram Friend / Extended Families Employee Facebook Student Job Board Linked In Jora Ethical Jobs Seek OtherPressEnter10Please list the name of the Extended Families staff member, volunteer or service user you heard about us from.PressEnter11If you can speak, read or write languages other than English, please detail below:PressEnter12Are you currently authorised to work in Australia? * This field is required. If no, please do not continue with this form Yes - Permanent Resident or Australian/New Zealand Citizen Yes - Current Work Visa / PermitPressEnter13VISA details: Please include any conditions that may affect your ability to work (ie: maximum number of work hours per fortnight)PressEnter14Do you have a illness or injury that may effect your ability to perform this role? * This field is required. YES NOPressEnter15If yes, please provide the details and any current restrictions it may have on your ability to perform the role. Please detail any ways that we might be able to reasonably accommodate your restrictions that would enable you to safely perform the role.LargeNormalSmallOkOkPressEnter16In the last 10 years, have you served any part of a sentence of imprisonment, or been charged with any offence that has been proven against you? * This field is required. YES NOPressEnter17Have you ever had any disciplinary action taken against you by any current or former employer, including any action that resulted in termination of employment? * This field is required. This includes any finding of improper or unprofessional conduct by any court or tribunal of any kind and any investigations that you have been the subject of by an employer, law enforcement agency or any integrity body or similar in Australia or in another country. YES NOPressEnter18If yes, please provide detail:PressEnter19Do you have any reason to believe that you have been excluded from working with people with a disability and may hold an NDIS Worker Screening Exclusion? * This field is required. Yes, I have reason to believe I have a NDIS Worker Screening Exclusion No, I do not believe I would be excluded from working with people with a disability and I agree to present or apply for and a NDIS Worker Screening Clearance prior to employmentPressEnter20Does anyone in your immediate family or anyone that you live with, work for Extended Families, or use any of Extended Families'' services? * This field is required. YES NOPressEnter21Do you currently work in disability services, either as an employee or as a sole trader with an ABN? * This field is required. YES NOPressEnter22If yes, please provide detail: * This field is required.PressEnter23When are you available to work? * This field is required. You can add comments about your availability after clicking NEXT Mon Tue Wed Thurs Fri Sat Sun 6am - 10am Row 0, Column 0 Row 0, Column 1 Row 0, Column 2 Row 0, Column 3 Row 0, Column 4 Row 0, Column 5 Row 0, Column 6 10am - 2pm Row 1, Column 0 Row 1, Column 1 Row 1, Column 2 Row 1, Column 3 Row 1, Column 4 Row 1, Column 5 Row 1, Column 6 2pm - 6pm Row 2, Column 0 Row 2, Column 1 Row 2, Column 2 Row 2, Column 3 Row 2, Column 4 Row 2, Column 5 Row 2, Column 6 6pm onwards Row 3, Column 0 Row 3, Column 1 Row 3, Column 2 Row 3, Column 3 Row 3, Column 4 Row 3, Column 5 Row 3, Column 6 1 of 4PressEnter24Please add comments about your availability If you have any known holidays or periods of leave coming up, or if your availability doesn''t really fit with the selections above, please provide details.LargeNormalSmallOkOkPressEnter25-- DateDayMonthYearPressEnter26Please attach your cover letter here: Drag and drop files here Select files to upload Max. file size : 10.6MB Browse Files Cancel ofPressEnter27Do you agree to present or apply for an NDIS Worker Screening Clearance, an Employee Working with Children Check and a valid First Aid and CPR certificate prior to commencing employment? * This field is required. YES NOPressEnter28Do you agree to present or apply for an NDIS Worker Screening Clearance prior to commencing employment? * This field is required. YES NOPressEnter29Do you agree to present or apply for an Employee Working with Children Check prior to commencing employment? * This field is required. Please note, we cannot accept volunteer checks. YES NOPressEnter30Do you agree to present a valid First Aid and CPR certificate prior to commencing employment? * This field is required. Please note, First Aid is valid for 3 years and CPR is valid for 1 year. YES NOPressEnter31Do you require an International Police Check? You will need to provide one if you have resided overseas for 12 months or more in the last 10 years * This field is required. Yes, and I am willing to obtain an International Police Check Yes, and I have an International Police Check No, I have not resided overseas for 12 months or more in the last 10 yearsPressEnter32Have you completed the NDIS worker orientation module, ''Quality, Safety and You''? * This field is required. Yes, I can provide the certificate of completion No, but willing to complete prior to commencing employmentPressEnter33Do you have a current Driver License? Please note, a valid Driver License is required for this role. * This field is required. YES NOPressEnter34Do you have regular and reliable access to an insured car? Please note, this is a requirement of this role. * This field is required. YES NOPressEnter35Do you accept that you will be responsible for maintaining appropriate car insurance, and that any costs related to vehicle damage, either to your own or those of members of the public will be your responsibility? * This field is required. YES NOPressEnter36Qualifications Please provide the details of any qualifications that you are currently completing. Year Expected to Complete Qualification/Area of Study Institution . Row 0, Column 0 Row 0, Column 1 Row 0, Column 2 . Row 1, Column 0 Row 1, Column 1 Row 1, Column 2 . . Year Expected to Complete Row 0, Column 0 Qualification/Area of Study Row 0, Column 1 Institution Row 0, Column 2 Year Expected to Complete Row 1, Column 0 Qualification/Area of Study Row 1, Column 1 Institution Row 1, Column 2 1 of 2PressEnter37Completed Qualifications Please provide the details of any qualifications you hold. Year Completed Qualification Institution . Row 0, Column 0 Row 0, Column 1 Row 0, Column 2 . Row 1, Column 0 Row 1, Column 1 Row 1, Column 2 . Row 2, Column 0 Row 2, Column 1 Row 2, Column 2 . . . Year Completed Row 0, Column 0 Qualification Row 0, Column 1 Institution Row 0, Column 2 Year Completed Row 1, Column 0 Qualification Row 1, Column 1 Institution Row 1, Column 2 Year Completed Row 2, Column 0 Qualification Row 2, Column 1 Institution Row 2, Column 2 1 of 3PressEnter38Employment History Please list information about your current and past employment (including temporary, part-time and voluntary work) starting with the most recent employment. Period Employed Position / Employer Reason for Leaving . Row 0, Column 0 Row 0, Column 1 Row 0, Column 2 . Row 1, Column 0 Row 1, Column 1 Row 1, Column 2 . Row 2, Column 0 Row 2, Column 1 Row 2, Column 2 . Row 3, Column 0 Row 3, Column 1 Row 3, Column 2 . . . . Period Employed Row 0, Column 0 Position / Employer Row 0, Column 1 Reason for Leaving Row 0, Column 2 Period Employed Row 1, Column 0 Position / Employer Row 1, Column 1 Reason for Leaving Row 1, Column 2 Period Employed Row 2, Column 0 Position / Employer Row 2, Column 1 Reason for Leaving Row 2, Column 2 Row 3, Column 0 Row 3, Column 1 Row 3, Column 2 1 of 4PressEnter39What made you decide to apply for this position?PressEnter40Do you have previous experience supporting people with a disability in an informal, voluntary or paid capacity? * This field is required. YES NOPressEnter41If yes, please describe your experience and the support your provided:PressEnter42What do you think your participants might identify as qualities of a great Inclusion Support Worker? * This field is required.LargeNormalSmallOkOkPressEnter43Maintaining an honest and trusting relationship with your participants is essential to this role. How would you build and maintain professional relationships with the people you support? * This field is required.LargeNormalSmallOkOkPressEnter44Please describe what you imagine the typical day on the job as an Inclusion Support Worker with Extended Families would look like:LargeNormalSmallOkOkPressEnter45Work/Professional Referees Please nominate three professional referees, with two being direct supervisors or managers. Please note you will be notified before referees are contacted. Name Position Employer Contact Number Email Address . Row 0, Column 0 Row 0, Column 1 Row 0, Column 2 Row 0, Column 3 Row 0, Column 4 . Row 1, Column 0 Row 1, Column 1 Row 1, Column 2 Row 1, Column 3 Row 1, Column 4 . Row 2, Column 0 Row 2, Column 1 Row 2, Column 2 Row 2, Column 3 Row 2, Column 4 1 of 3PressEnter46Please attach your resume and any other supporting documents here: Please only upload PDF files. Drag and drop files here Select files to upload Max. file size : 10.6MB Browse Files Please only upload PDF files. Cancel ofPressEnter47Please make any other comments here, including any further information that may support your application:LargeNormalSmallOkOkPressEnter48Declaration Summary * This field is required. I have answered all questions honestly and openly and I have not knowingly withheld any relevant information. I have read the position description and I understand the inherent requirements of the position for which I am applying. I acknowledge that failure to disclose this information or providing false and misleading information may result in invoking Section 41 Workplace Injury Rehabilitation And Compensation Act which will dis-entitle me or my dependants from receiving any workers compensation benefits relating to any recurrence, aggravation, exacerbation or deterioration of any pre-existing condition which I may have arising out of or in the course of, the employment. I authorise Extended Families (and their employees and agents) to make such enquiries as considered appropriate to verify the information I have provided as part of this application. I have no prior injuries, illnesses or medical condition that may recur, deteriorate, be exacerbated or aggravated by the employment. I certify that the information given is a true and accurate statement and I understand that I am liable to have my employment terminated, or my offer of employment withdrawn if any details in the application are found to be falsified or misleading.I declare the declaration summary and all other information provided in this form is true and correct. Yes NoPressEnter49You have reached the end of the Inclusion Support Worker Job Application form for Extended Families.Thank you for taking the time to complete this application.Extended Families will contact you to discuss your application if you are shortlisted for this role. #J-18808-Ljbffr