Email:

Address:

Suburb:

Phone Number:

Mobile Number:

Age:

Do you Have a license: Choose One Yes No

Do you have your own Transport: Choose One Yes No

Are You A Smoker: Choose One Yes No

How Many Years Experience do you have in the childcare industry: Choose One 0 - 2 years 2 - 4 years 4 - 6 years 6+ years

Do you have a First Aid Certificate? Yes No

Do you have a current Blue Card? Yes No

What Days Are you available to work?

Monday Tuesday Wednesday
Thursday Friday Saturday Sunday

What hours are you available?
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:

Prefered Employment?
Fulltime Part Time Casual

Preferred Hourly Rate?

What Date would you be able to start?

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