Register for work Applicant Details:Title* Surname Given Name/s:* Home Address* Suburbs** State** P/Code:* Contact Details:Work** Home** Mobile**Email** Are you an Australian Citizen / Permanent Resident? ** Yes No How long have you been in Australia? ** Visa Type** Visa Number** Issue Date* MM slash DD slash YYYY Expiry Date* MM slash DD slash YYYY Do you consent for Holistic Care Services to check your visa status on Vevo?* Yes No (Note: To be eligible for employment, applicants must have the appropriate work visa or have permanent residency status. A copy of a current work visa is required)Do you require any special arrangements at an interview? If yes, please give us a call. Yes No Have you ever been in serious breach of any client protection and/or Code of conduct?* Yes No Do you have any convictions, finding of guilt and/or pending police charges against you relating to the abuse of, or inappropriate behavior towards a child, elderly or vulnerable person?* Yes No (Note: A criminal records check is a prerequisite of the position.) Referees Details:(Note : At least one of these referees should have been your immediate supervisor in your past or existing role)1.Referee:Name* Position Held* Length of Employment* Contact No.*Name of Organisation* 2.Referee:Name* Position Held* Length of Employment* Contact No.*Name of Organisation* Attach a resumeAccepted file types: doc, pdf, Max. file size: 20 MB.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ