Main body content information for the online Employment application form for My Place (WA) Pty Ltd website.

Expression of Interest

Welcome to the My Place Electronic Application Form. The form available on this page has been provided for your convenience to be filled out online to assist in the processing of your application.

Employment application form

Personal Details

*Surname:

*First Name:

*Your Address:

*Suburb:

*Postcode:

*Phone 1:

Phone 2:

*Email:

DOB:

Gender:

Male Female Non-Binary

Date/Time:

Where did you hear about My Place

Where:

Do you have?

A current Driver’s Licence (original will need to be cited):

Yes No

Access to a licenced and reliable car?:

Yes No

Would you be willing to use your own car for work purposes if required?:

Yes No

How far would you be willing to travel from home for work?:

Current First Aid Certificate (less than 12 months old):

Yes No

Legally entitled to work in Australia?:

Yes No

Experience

List any relevant experience, qualifications and skills:

Why have you applied for this position?:

Skills

Do you have manual handling skills:

Yes No

If NO, are you willing to learn?:

Yes No

Do you have hoisting skills:

Yes No

If NO, are you willing to learn?:

Yes No

Do you have personal care skills?:

Yes No

If NO, are you willing to learn?:

Yes No

Position sought

Position:

Full-time Part-time Casual

Type:

Personal Assistant
We are looking for people who would like to spend several hours for one or more days each week, possibly including week-ends, being a companion to a person with a disability as they pursue their own interests in the community.

Co-Resident
We are looking for people who would like to move in with a person with a disability in a comfortable, and well-equipped house. This would be your sole source of employment and you would be entitled to an attractive salary, free rent, superannuation and regular breaks.

Host Family
We are looking for people who would like to have a person with a disability live with them in a long term arrangement, to share their home and life. My Place can meet the cost of any needed modifications, equipment or furniture. Payment for this support may be via tax-free reimbursement.

References

Please provide two work references contact details:

Resume

Please provide your resume in a PDF format.

This information has been collected for the sole purpose of assessing the prospective employee’s suitability for vacancies that my arise within My Place from time to time. It will not be shared or sent to any third parties and the information provided will be retained within the system for a maximum of 90 days while your application is considered.

Main body content information for the online Employment application form for My Place (WA) Pty Ltd website.

Expression of Interest

Employment application form

Personal Details

Where did you hear about My Place

Do you have?

Experience

Skills

Position sought

Preferred Hours:

Preferred Days:

References

Resume