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Wellington Park
Wellington Park is a renowned aged care residence located in Brisbane's South East. Backing onto native bushland, it offers natural surrounds, manicured gardens and its very own eden farm.

Merrimac Park
Merrimac Park is a modern, yet well established Gold Coast aged care residence, set amongst privately owned acreage, offering the latest in aged care design and support.
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- Wellington Park
- Merrimac Park
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Support
About Us
Careers

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Job Application Form

We embrace holistic development within our sectors.

Step 1 of 6

0%

Position applying for

Choose location to apply to(Required)

Personal Details

Surname(Required)

Given Name/s(Required)

Address

Email(Required)

Home phone

Mobile phone

Name of NOK

Relationship to applicant

Where were you born?(Required)

What is your drivers license number?

Are you an Australian Citizen? (If No, provide copy of citizenship or passport)(Required)

Yes

No

If No, do you have a legal entitlement to work in Australia?(Required)

Yes

No

If No, please state the Visa restrictions and type of Visa:

Current Qualifications

Qualification Title 1

Institution / Provider 1

Year 1

Qualification Title 2

Institution / Provider 2

Year 2

Qualification Title 3

Institution / Provider 3

Year 3

Are you currently undertaking study / training?(Required)

Yes

No

Course / Program Name?

Fulltime

Part-time

Distance

Other

When will you be available to start work?(Required)

Do you have a current police certificate?(Required)

Yes

No

Employment History (most recent first)

Employer 1

Position 1

From 1

To 1

Reason for living 1

Employer 2

Position 2

From 2

To 2

Reason for living 2

Employer 3

Position 3

From 3

To 3

Reason for living 3

Do you agree to have referees contacted?

Yes

No

Professional Referees

Name 1

Position / Relationship 1

Phone Number `

Name 2

Position / Relationship 2

Phone Number 2

Name 3

Position / Relationship 3

Phone Number 3

Personal Referees

Referee Name 1

Relationship 1

Phone Number 1

Referee Name 2

Relationship 2

Phone Number 2

Referee Name 3

Relationship 3

Phone Number 3

Please indicate your availability

TIME OF DAY
MON
TUE
WED
THU
FRI
SAT
SUN

AM

MON AM

TUE AM

WED AM

THU AM

FRI AM

SAT AM

SUN AM

PM

MON PM

TUE PM

WED PM

THU PM

FRI PM

SAT PM

SUN PM

ND

MON ND

TUE ND

WED ND

THU ND

FRI ND

SAT ND

SUN ND

Who prepared this resume?

What is your personal vision statement?

What guides your life and provides the direction necessary to chart the course of your days and career?

Do you have any hobbies / sports / activities you enjoy?

Statement of how you can work in a team and carry out directions?(Required)

Statement of salary expected and for what reason?(Required)

Is there anything that would prohibit you from undertaking the duties as stated within your job description? Eg. Medical conditions, disabilities etc.

Employment is subject to pre-employment screening for pre-existing injuries and conditions.

IS THERE ANYTHING THAT WOULD PROHIBIT YOU FROM UNDERTAKING THE DUTIES AS STATED WITHIN YOUR JOB DESCRIPTION?

Have you received the flu vaccine within the last 12 months? (You will be asked to supply proof).(Required)

Yes

No

Are you currently up to date with your COVID19 vaccinations including all required boosters?(Required)

Yes

No

If no, are you willing to receive this vaccine free of charge from the employer?(Required)

Yes

No

Do you smoke cigarettes?(Required)

Yes

No

How many per day?(Required)

(Required)

I declare that I do not have any pre-existing physical or psychological injuries or conditions that would prevent me from working in the position for which I am applying.

Phone

This field is for validation purposes and should be left unchanged.

Step 1 of 6

0%

Position applying for

Choose location to apply to(Required)

Personal Details

Surname(Required)

Given Name/s(Required)

Address

Email(Required)

Home phone

Mobile phone

Name of NOK

Relationship to applicant

Where were you born?(Required)

What is your drivers license number?

Are you an Australian Citizen? (If No, provide copy of citizenship or passport)(Required)

Yes

No

If No, do you have a legal entitlement to work in Australia?(Required)

Yes

No

If No, please state the Visa restrictions and type of Visa:

Current Qualifications

Qualification Title 1

Institution / Provider 1

Year 1

Qualification Title 2

Institution / Provider 2

Year 2

Qualification Title 3

Institution / Provider 3

Year 3

Are you currently undertaking study / training?(Required)

Yes

No

Course / Program Name?

Fulltime

Part-time

Distance

Other

When will you be available to start work?(Required)

Do you have a current police certificate?(Required)

Yes

No

Employment History (most recent first)

Employer 1

Position 1

From 1

To 1

Reason for living 1

Employer 2

Position 2

From 2

To 2

Reason for living 2

Employer 3

Position 3

From 3

To 3

Reason for living 3

Do you agree to have referees contacted?

Yes

No

Professional Referees

Name 1

Position / Relationship 1

Phone Number `

Name 2

Position / Relationship 2

Phone Number 2

Name 3

Position / Relationship 3

Phone Number 3

Personal Referees

Referee Name 1

Relationship 1

Phone Number 1

Referee Name 2

Relationship 2

Phone Number 2

Referee Name 3

Relationship 3

Phone Number 3

Please indicate your availability

TIME OF DAY
MON
TUE
WED
THU
FRI
SAT
SUN

AM

MON AM

TUE AM

WED AM

THU AM

FRI AM

SAT AM

SUN AM

PM

MON PM

TUE PM

WED PM

THU PM

FRI PM

SAT PM

SUN PM

ND

MON ND

TUE ND

WED ND

THU ND

FRI ND

SAT ND

SUN ND

Who prepared this resume?

What is your personal vision statement?

What guides your life and provides the direction necessary to chart the course of your days and career?

Do you have any hobbies / sports / activities you enjoy?

Statement of how you can work in a team and carry out directions?(Required)

Statement of salary expected and for what reason?(Required)

Is there anything that would prohibit you from undertaking the duties as stated within your job description? Eg. Medical conditions, disabilities etc.

Employment is subject to pre-employment screening for pre-existing injuries and conditions.

IS THERE ANYTHING THAT WOULD PROHIBIT YOU FROM UNDERTAKING THE DUTIES AS STATED WITHIN YOUR JOB DESCRIPTION?

Have you received the flu vaccine within the last 12 months? (You will be asked to supply proof).(Required)

Yes

No

Are you currently up to date with your COVID19 vaccinations including all required boosters?(Required)

Yes

No

If no, are you willing to receive this vaccine free of charge from the employer?(Required)

Yes

No

Do you smoke cigarettes?(Required)

Yes

No

How many per day?(Required)

(Required)

I declare that I do not have any pre-existing physical or psychological injuries or conditions that would prevent me from working in the position for which I am applying.

Phone

This field is for validation purposes and should be left unchanged.